Tuberculosis preventive treatment in newborns

Objective: To describe the reported cases of newborns subjected to tuberculosis preventive treatment (TPT) in the state of Paraná, Brazil, and to evaluate the safety and effectiveness in preventing the progression of TB disease in this population. Method: Observational, descriptive case series, with...

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Main Authors: Tony TannousTahan, Andrea Maciel de Oliveira Rossoni, Giuliana Lugarini, Simoni Pimenta de Oliveira, Juliana Taques, Mauricio Bedim dos Santos, Betina Mendez Alcântara Gabardo, Tatiane Emi Hirose, Cristina de Oliveira Rodrigues
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Jornal de Pediatria
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Online Access:http://www.sciencedirect.com/science/article/pii/S0021755724000913
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author Tony TannousTahan
Andrea Maciel de Oliveira Rossoni
Giuliana Lugarini
Simoni Pimenta de Oliveira
Juliana Taques
Mauricio Bedim dos Santos
Betina Mendez Alcântara Gabardo
Tatiane Emi Hirose
Cristina de Oliveira Rodrigues
author_facet Tony TannousTahan
Andrea Maciel de Oliveira Rossoni
Giuliana Lugarini
Simoni Pimenta de Oliveira
Juliana Taques
Mauricio Bedim dos Santos
Betina Mendez Alcântara Gabardo
Tatiane Emi Hirose
Cristina de Oliveira Rodrigues
author_sort Tony TannousTahan
collection DOAJ
description Objective: To describe the reported cases of newborns subjected to tuberculosis preventive treatment (TPT) in the state of Paraná, Brazil, and to evaluate the safety and effectiveness in preventing the progression of TB disease in this population. Method: Observational, descriptive case series, with secondary data. The characteristics of the participants were analyzed from the information systems of preventive treatment of TB (of Paraná), between 2009 and 2016. To evaluate which children had developed tuberculosis later or died, we used the data from the information systems of TB (in Brazil), and mortality (in Paraná), covering the years 2009 to 2018. Results: A total of 24 children underwent TPT with the age at treatment onset ranging from 0 to 87 days (median: 23 days). In 95.8 %, the exposure occurred at home, and in 33.3 % of cases, the mother was the source of the infection. A total of 20.8 % of the children tested positive for tuberculosis test at 3 months of age, 83.3 % completed treatment, and 2 experienced adverse events (gastrointestinal issues). No children developed TB or died during the minimum of a 2-year evaluation period through the official databases. Conclusions: In this case series, the adherence to the plan was high, with few adverse events and 100 % protection against infection.
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spelling doaj-art-8ba8e1b8deaf49e4a664ed3b8d4b64b12025-01-04T04:55:46ZengElsevierJornal de Pediatria0021-75572025-01-0110116166Tuberculosis preventive treatment in newbornsTony TannousTahan0Andrea Maciel de Oliveira Rossoni1Giuliana Lugarini2Simoni Pimenta de Oliveira3Juliana Taques4Mauricio Bedim dos Santos5Betina Mendez Alcântara Gabardo6Tatiane Emi Hirose7Cristina de Oliveira Rodrigues8Universidade Federal do Paraná, Curitiba, PR, Brazil; Corresponding author.Universidade Federal do Paraná, Curitiba, PR, Brazil; Rede Brasileira de Pesquisa em Tuberculose – RedeTB, BrazilUniversidade Tecnológica Federal do Paraná, Curitiba, PR, BrazilSecretaria de Saúde do Estado do Paraná, Curitiba, PR, BrazilSecretaria de Saúde do Estado do Paraná, Curitiba, PR, BrazilUniversidade Federal do Paraná, Curitiba, PR, BrazilUniversidade Federal do Paraná, Curitiba, PR, BrazilUniversidade Federal do Paraná, Curitiba, PR, BrazilUniversidade Federal do Paraná, Curitiba, PR, BrazilObjective: To describe the reported cases of newborns subjected to tuberculosis preventive treatment (TPT) in the state of Paraná, Brazil, and to evaluate the safety and effectiveness in preventing the progression of TB disease in this population. Method: Observational, descriptive case series, with secondary data. The characteristics of the participants were analyzed from the information systems of preventive treatment of TB (of Paraná), between 2009 and 2016. To evaluate which children had developed tuberculosis later or died, we used the data from the information systems of TB (in Brazil), and mortality (in Paraná), covering the years 2009 to 2018. Results: A total of 24 children underwent TPT with the age at treatment onset ranging from 0 to 87 days (median: 23 days). In 95.8 %, the exposure occurred at home, and in 33.3 % of cases, the mother was the source of the infection. A total of 20.8 % of the children tested positive for tuberculosis test at 3 months of age, 83.3 % completed treatment, and 2 experienced adverse events (gastrointestinal issues). No children developed TB or died during the minimum of a 2-year evaluation period through the official databases. Conclusions: In this case series, the adherence to the plan was high, with few adverse events and 100 % protection against infection.http://www.sciencedirect.com/science/article/pii/S0021755724000913PreventionNeonatologyCongenitalLatent tuberculosisTherapeuticsIsoniazid
spellingShingle Tony TannousTahan
Andrea Maciel de Oliveira Rossoni
Giuliana Lugarini
Simoni Pimenta de Oliveira
Juliana Taques
Mauricio Bedim dos Santos
Betina Mendez Alcântara Gabardo
Tatiane Emi Hirose
Cristina de Oliveira Rodrigues
Tuberculosis preventive treatment in newborns
Jornal de Pediatria
Prevention
Neonatology
Congenital
Latent tuberculosis
Therapeutics
Isoniazid
title Tuberculosis preventive treatment in newborns
title_full Tuberculosis preventive treatment in newborns
title_fullStr Tuberculosis preventive treatment in newborns
title_full_unstemmed Tuberculosis preventive treatment in newborns
title_short Tuberculosis preventive treatment in newborns
title_sort tuberculosis preventive treatment in newborns
topic Prevention
Neonatology
Congenital
Latent tuberculosis
Therapeutics
Isoniazid
url http://www.sciencedirect.com/science/article/pii/S0021755724000913
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