Management of the infant born to a mother with tuberculosis: a systematic review and consensus practice guideline.

Autor:	Hasan N; Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia; General Paediatrics, The Queensland Children's Hospital, Brisbane, QLD, Australia., Nourse C; Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia; Infection Prevention and Management Service, The Queensland Children's Hospital, Brisbane, QLD, Australia., Schaaf HS; Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Tygerberg, South Africa., Bekker A; Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Tygerberg, South Africa., Loveday M; HIV and other Infectious Diseases Research Unit, South African Medical Research Council, Durban, South Africa., Alcântara Gabardo BM; Child and Adolescent Unit, Clinical Hospital Complex, Federal University of Paraná, Curitiba, Brazil; Brazilian Tuberculosis Research Network, Rio de Janeiro, Brazil., Coulter C; Queensland Mycobacterium Reference Laboratory, WHO Collaborating Centre for Tuberculosis Bacteriology, Pathology Queensland and Communicable Diseases Branch, Queensland Health, Brisbane, QLD, Australia., Chabala C; Department of Paediatrics and Child Health, School of Medicine, University of Zambia, Lusaka, Zambia., Kabra S; Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India., Moore E; Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia., Maleche-Obimbo E; Department of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya., Salazar-Austin N; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Ritz N; Infectious Disease and Vaccinology Unit, University Children's Hospital Basel, University of Basel, Basel, Switzerland; Department of Pediatrics and Pediatric Infectious Diseases, Children's Hospital of Central Switzerland, Lucerne, Switzerland; Faculty of Health Science and Medicine, University of Lucerne, Lucerne, Switzerland., Starke JR; Baylor College of Medicine, Houston, TX, USA., Steenhoff AP; Global Health Center and Division of Infectious Diseases, The Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA, USA; Department of Paediatric and Adolescent Medicine, University of Botswana, Gaborone, Botswana., Triasih R; Department of Pediatrics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr Sardjito Hospital, Yogyakarta, Indonesia., Welch SB; Department of Paediatrics, Birmingham Chest Clinic and Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Marais BJ; WHO Collaborating Centre for Tuberculosis, Sydney Infectious Diseases Institute, University of Sydney, Sydney, NSW, Australia; The Children's Hospital at Westmead, Sydney, NSW, Australia. Electronic address: ben.marais@health.nsw.gov.au.
Jazyk:	angličtina
Zdroj:	The Lancet. Child & adolescent health [Lancet Child Adolesc Health] 2024 May; Vol. 8 (5), pp. 369-378. Date of Electronic Publication: 2024 Mar 21.
DOI:	10.1016/S2352-4642(23)00345-0
Abstrakt:	Infants born to mothers with tuberculosis disease are at increased risk of developing tuberculosis disease themselves. We reviewed published studies and guidelines on the management of these infants to inform the development of a consensus practice guideline. We searched MEDLINE, CINAHL, and Cochrane Library from database inception to Dec 1, 2022, for original studies reporting the management and outcome of infants born to mothers with tuberculosis. Of the 521 published papers identified, only three met inclusion criteria and no evidence-based conclusions could be drawn from these studies, given their narrow scope, variable aims, descriptive nature, inconsistent data collection, and high attrition rates. We also assessed a collection of national and international guidelines to inform a consensus practice guideline developed by an international panel of experts from different epidemiological contexts. The 16 guidelines reviewed had consistent features to inform the expert consultation process. Two management algorithms were developed-one for infants born to mothers considered potentially infectious at the time of delivery and another for mothers not considered infectious at the time of delivery-with different guidance for high and low tuberculosis incidence settings. This systematic review and consensus practice guideline should facilitate more consistent clinical management, support the collection of better data, and encourage the development of more studies to improve evidence-based care. Competing Interests: Declaration of interests We declare no competing interests. (Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze:	MEDLINE
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