ATS GUIDELINES Bundle

Drug-Resistant Tuberculosis

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11 Children Reduced Renal Function a 15–20 mg/kg/day once daily b 3×/wk 10–15 mg/kg/day once daily No change needed ≥12 years and ≥30 kg : adult dose Studies ongoing in lower age groups and weights. Based on expert opinion, for children >6 years and weight 15–30 kg half the adult dose can be used (200/day × 2 weeks then 100 mg M/W/F for 22–24 weeks) No change needed ≥12 years: 10 mg/kg once daily (300 or 600 mg ) <12 years: Based on modelled pharmacokinetic data for lower weight bands: 5–9 kg : 15 mg/kg once daily 10–23 kg : 12 mg/kg once daily >23 kg : 10 mg/kg once daily No change needed 2–5 mg/kg/day No change needed 15–20 mg/kg/day Start with 250 mg daily and verify with TDM in setting of renal disease 15–20 mg/kg/day Patients with decreased renal function may require the 15 mg/kg dose to be given only 2–3 times weekly to allow for drug clearance. 15–20 mg/kg daily or 25–30 mg/kg twice-weekly f Patients with decreased renal function may require the 15 mg/kg dose to be given only 2–3 times weekly to allow for drug clearance.

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