New and Repurposed Drugs for Pediatric Multidrug-Resistant Tuberculosis Practice-based Recommendations

被引:54
作者
Harausz, Elizabeth P. [1 ]
Garcia-Prats, Anthony J. [2 ]
Seddon, James A. [3 ]
Schaaf, H. Simon [2 ]
Hesseling, Anneke C. [2 ]
Achar, Jay [4 ]
Bernheimer, Jonathan [5 ]
Cruz, Andrea T. [6 ]
D'Ambrosio, Lia [7 ,8 ]
Detjen, Anne [9 ]
Graham, Stephen M. [10 ,11 ]
Hughes, Jennifer [5 ]
Jonckheere, Sylvie [12 ]
Marais, Ben J. [13 ]
Migliori, Giovanni Battista [7 ]
McKenna, Lindsay [14 ]
Skrahina, Alena [15 ]
Tadolini, Marina [16 ]
Wilson, Peyton [17 ]
Furin, Jennifer [18 ]
机构
[1] Walter Reed Army Inst Res, US Mil HIV Res Program, Silver Spring, MD USA
[2] Stellenbosch Univ, Desmond Tutu TB Ctr, Dept Paediat & Child Hlth, Fac Med & Hlth Sci, Cape Town, South Africa
[3] Imperial Coll London, Ctr Int Child Hlth, London, England
[4] Medecins Sans Frontieres, Manson Unit, London, England
[5] Medecins Sans Frontieres, Khayelitsha, South Africa
[6] Baylor Coll Med, Houston, TX 77030 USA
[7] Salvatore Maugeri Fdn, Tradate, Italy
[8] Publ Hlth Consulting Grp, Lugano, Switzerland
[9] United Nations Childrens Fund, New York, NY USA
[10] Univ Melbourne, Ctr Int Child Hlth, Dept Paediat, Melbourne, Vic, Australia
[11] Royal Childrens Hosp, Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[12] Medecins Sans Frontieres, Bombay, Maharashtra, India
[13] Univ Sydney, Childrens Hosp Westmead, Sydney, NSW, Australia
[14] Treatment Act Grp, HIV TB Project, New York, NY USA
[15] Republican Res & Pract Ctr Pulmonol & TB, Minsk, BELARUS
[16] Univ Bologna, Alma Mater Studiorum, Unit Infect Dis, Dept Med & Surg Sci, Bologna, Italy
[17] Boston Childrens Hosp, Dept Med, Boston, MA USA
[18] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA USA
基金
英国医学研究理事会;
关键词
multidrug-resistant tuberculosis; Mycobacterium tuberculosis; child; adolescent; pediatric; COMPASSIONATE USE; CHILDREN; BEDAQUILINE; DELAMANID; REGIMEN; TOLERABILITY; PROLONGATION; EXPERIENCE; MANAGEMENT; NEVIRAPINE;
D O I
10.1164/rccm.201606-1227CI
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
It is estimated that 33,000 children develop multidrug-resistant tuberculosis (MDR-TB) each year. In spite of these numbers, children and adolescents have limited access to the new and repurposed MDR-TB drugs. There is also little clinical guidance for the use of these drugs and for the shorter MDR-TB regimen in the pediatric population. This is despite the fact that these drugs and regimens are associated with improved interim outcomes and acceptable safety profiles in adults. This review fills a gap in the pediatric MDR-TB literature by providing practice-based recommendations for the use of the new (delamanid and bedaquiline) and repurposed (linezolid and clofazimine) MDR-TB drugs and the new shorter MDR-TB regimen in children and adolescents.
引用
收藏
页码:1300 / 1310
页数:11
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