Treating Tuberculosis in Children
Treatment of active tuberculosis (TB) in children is usually different from treatment of TB in adults. In children younger than 4 years, TB is more likely to spread beyond the lungs (extrapulmonary TB). It is also harder to get from children a sputum sample that grows TB bacteria.footnote 1 So the doctor may assume that a child is infected with the same type of TB bacteria as the person who most likely infected him or her.
In general, TB treatment in children usually begins with 3 medicines instead of 4 because:
- The number of bacteria usually is small.
- It may be hard to determine if a child is having vision problems, which can be caused by ethambutol.
Children with TB usually take isoniazid, rifampin, and pyrazinamide for 2 months. Treatment then continues for at least 4 more months with isoniazid and rifampin. Vitamin B6 (pyridoxine) also may be recommended during TB treatment if the child is not eating a good diet or isn't getting enough nutrients. Directly observed therapy (DOT) is usually done to make sure that the child takes all of the medicine.
Additional medicines taken for a longer time may be needed for children:
- With extrapulmonary TB.
- Who are infected with TB and human immunodeficiency virus (HIV).
- Who are infected with TB bacteria that cannot be killed by 1 or more antibiotics.
A child taking ethambutol to treat a TB infection should have his or her vision checked every month.
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Brian D. O'Brien, MD - Internal Medicine
Specialist Medical Reviewer R. Steven Tharratt, MD, MPVM, FACP, FCCP - Pulmonology, Critical Care Medicine, Medical Toxicology
Current as ofMarch 3, 2017
Current as of: March 3, 2017
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