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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.
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页码:1300 / 1310
页数:11
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