Levofloxacin Preventive Treatment in Children Exposed to MDR Tuberculosis

In this randomized, controlled trial involving children with household exposure to multidrug-resistant tuberculosis, levofloxacin led to a lower incidence of tuberculosis than placebo, but the difference was not significant.

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Veröffentlicht in:The New England journal of medicine Jg. 391; H. 24; S. 2315 - 2326
Hauptverfasser: Hesseling, Anneke C., Purchase, Susan E., Martinson, Neil A., Fairlie, Lee, Schaaf, H. Simon, Brigden, Joanna, Staples, Suzanne, Gibb, Diana M., Garcia-Prats, Anthony, Conradie, Francesca, McGowan, Charlotte, Layton, Charlotte, Batist, Elize, Demers, Anne-Marie, Nyamathe, Samukelisiwe, Frigati, Lisa, Turner, Rebecca, Duong, Trinh, Seddon, James A.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Massachusetts Medical Society 19.12.2024
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ISSN:0028-4793, 1533-4406, 1533-4406
Online-Zugang:Volltext
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Abstract In this randomized, controlled trial involving children with household exposure to multidrug-resistant tuberculosis, levofloxacin led to a lower incidence of tuberculosis than placebo, but the difference was not significant.
AbstractList AbstractBackgroundWorldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) Mycobacterium tuberculosis, with MDR tuberculosis developing in approximately 30,000 annually. Evidence from randomized, controlled trials on tuberculosis preventive treatment in persons exposed to MDR tuberculosis is lacking.MethodsIn this community-based, multisite, double-blind, cluster-randomized, placebo-controlled trial in South Africa, we assessed the efficacy and safety of levofloxacin as preventive treatment in children with household exposure to an adult with bacteriologically confirmed MDR pulmonary tuberculosis. Children younger than 5 years of age were eligible for inclusion regardless of interferon-γ release assay result or human immunodeficiency virus (HIV) status, and children 5 to 17 years of age were eligible if they had a positive interferon-γ release assay or HIV infection. Households were randomly assigned to a trial regimen, and children in the household received levofloxacin or placebo once daily for 24 weeks. The primary efficacy end point was incident tuberculosis, which included death from tuberculosis, by week 48 after randomization. The primary safety end point was any adverse event of grade 3 or higher during the treatment period that was at least possibly related to the trial regimen.ResultsOf 922 participants from 497 households, 453 were assigned to receive levofloxacin and 469 to placebo; 91.0% of the participants were younger than 5 years of age. At least 80% of the assigned doses of levofloxacin or placebo were received by 86% of the participants in each trial group. By week 48, tuberculosis had developed in 5 participants (1.1%) in the levofloxacin group and in 12 participants (2.6%) in the placebo group (hazard ratio, 0.44; 95% confidence interval [CI], 0.15 to 1.25). The results of sensitivity analyses were consistent with those of the primary analysis. Grade 3 or higher adverse events during the treatment period that were considered to be at least possibly related to the trial regimen occurred in 4 participants in the levofloxacin group and in 8 participants in the placebo group (hazard ratio, 0.52; 95% CI, 0.16 to 1.71). Grade 2 tendonitis occurred in 1 child in the levofloxacin group.ConclusionsAlthough preventive treatment with levofloxacin led to a lower incidence of tuberculosis than placebo among children with household exposure to MDR tuberculosis, the difference was not significant. (Supported by Unitaid and others; TB-CHAMP ISRCTN Registry number, ISRCTN92634082.)
Worldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) Mycobacterium tuberculosis, with MDR tuberculosis developing in approximately 30,000 annually. Evidence from randomized, controlled trials on tuberculosis preventive treatment in persons exposed to MDR tuberculosis is lacking.BACKGROUNDWorldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) Mycobacterium tuberculosis, with MDR tuberculosis developing in approximately 30,000 annually. Evidence from randomized, controlled trials on tuberculosis preventive treatment in persons exposed to MDR tuberculosis is lacking.In this community-based, multisite, double-blind, cluster-randomized, placebo-controlled trial in South Africa, we assessed the efficacy and safety of levofloxacin as preventive treatment in children with household exposure to an adult with bacteriologically confirmed MDR pulmonary tuberculosis. Children younger than 5 years of age were eligible for inclusion regardless of interferon-γ release assay result or human immunodeficiency virus (HIV) status, and children 5 to 17 years of age were eligible if they had a positive interferon-γ release assay or HIV infection. Households were randomly assigned to a trial regimen, and children in the household received levofloxacin or placebo once daily for 24 weeks. The primary efficacy end point was incident tuberculosis, which included death from tuberculosis, by week 48 after randomization. The primary safety end point was any adverse event of grade 3 or higher during the treatment period that was at least possibly related to the trial regimen.METHODSIn this community-based, multisite, double-blind, cluster-randomized, placebo-controlled trial in South Africa, we assessed the efficacy and safety of levofloxacin as preventive treatment in children with household exposure to an adult with bacteriologically confirmed MDR pulmonary tuberculosis. Children younger than 5 years of age were eligible for inclusion regardless of interferon-γ release assay result or human immunodeficiency virus (HIV) status, and children 5 to 17 years of age were eligible if they had a positive interferon-γ release assay or HIV infection. Households were randomly assigned to a trial regimen, and children in the household received levofloxacin or placebo once daily for 24 weeks. The primary efficacy end point was incident tuberculosis, which included death from tuberculosis, by week 48 after randomization. The primary safety end point was any adverse event of grade 3 or higher during the treatment period that was at least possibly related to the trial regimen.Of 922 participants from 497 households, 453 were assigned to receive levofloxacin and 469 to placebo; 91.0% of the participants were younger than 5 years of age. At least 80% of the assigned doses of levofloxacin or placebo were received by 86% of the participants in each trial group. By week 48, tuberculosis had developed in 5 participants (1.1%) in the levofloxacin group and in 12 participants (2.6%) in the placebo group (hazard ratio, 0.44; 95% confidence interval [CI], 0.15 to 1.25). The results of sensitivity analyses were consistent with those of the primary analysis. Grade 3 or higher adverse events during the treatment period that were considered to be at least possibly related to the trial regimen occurred in 4 participants in the levofloxacin group and in 8 participants in the placebo group (hazard ratio, 0.52; 95% CI, 0.16 to 1.71). Grade 2 tendonitis occurred in 1 child in the levofloxacin group.RESULTSOf 922 participants from 497 households, 453 were assigned to receive levofloxacin and 469 to placebo; 91.0% of the participants were younger than 5 years of age. At least 80% of the assigned doses of levofloxacin or placebo were received by 86% of the participants in each trial group. By week 48, tuberculosis had developed in 5 participants (1.1%) in the levofloxacin group and in 12 participants (2.6%) in the placebo group (hazard ratio, 0.44; 95% confidence interval [CI], 0.15 to 1.25). The results of sensitivity analyses were consistent with those of the primary analysis. Grade 3 or higher adverse events during the treatment period that were considered to be at least possibly related to the trial regimen occurred in 4 participants in the levofloxacin group and in 8 participants in the placebo group (hazard ratio, 0.52; 95% CI, 0.16 to 1.71). Grade 2 tendonitis occurred in 1 child in the levofloxacin group.Although preventive treatment with levofloxacin led to a lower incidence of tuberculosis than placebo among children with household exposure to MDR tuberculosis, the difference was not significant. (Supported by Unitaid and others; TB-CHAMP ISRCTN Registry number, ISRCTN92634082.).CONCLUSIONSAlthough preventive treatment with levofloxacin led to a lower incidence of tuberculosis than placebo among children with household exposure to MDR tuberculosis, the difference was not significant. (Supported by Unitaid and others; TB-CHAMP ISRCTN Registry number, ISRCTN92634082.).
Worldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) , with MDR tuberculosis developing in approximately 30,000 annually. Evidence from randomized, controlled trials on tuberculosis preventive treatment in persons exposed to MDR tuberculosis is lacking. In this community-based, multisite, double-blind, cluster-randomized, placebo-controlled trial in South Africa, we assessed the efficacy and safety of levofloxacin as preventive treatment in children with household exposure to an adult with bacteriologically confirmed MDR pulmonary tuberculosis. Children younger than 5 years of age were eligible for inclusion regardless of interferon-γ release assay result or human immunodeficiency virus (HIV) status, and children 5 to 17 years of age were eligible if they had a positive interferon-γ release assay or HIV infection. Households were randomly assigned to a trial regimen, and children in the household received levofloxacin or placebo once daily for 24 weeks. The primary efficacy end point was incident tuberculosis, which included death from tuberculosis, by week 48 after randomization. The primary safety end point was any adverse event of grade 3 or higher during the treatment period that was at least possibly related to the trial regimen. Of 922 participants from 497 households, 453 were assigned to receive levofloxacin and 469 to placebo; 91.0% of the participants were younger than 5 years of age. At least 80% of the assigned doses of levofloxacin or placebo were received by 86% of the participants in each trial group. By week 48, tuberculosis had developed in 5 participants (1.1%) in the levofloxacin group and in 12 participants (2.6%) in the placebo group (hazard ratio, 0.44; 95% confidence interval [CI], 0.15 to 1.25). The results of sensitivity analyses were consistent with those of the primary analysis. Grade 3 or higher adverse events during the treatment period that were considered to be at least possibly related to the trial regimen occurred in 4 participants in the levofloxacin group and in 8 participants in the placebo group (hazard ratio, 0.52; 95% CI, 0.16 to 1.71). Grade 2 tendonitis occurred in 1 child in the levofloxacin group. Although preventive treatment with levofloxacin led to a lower incidence of tuberculosis than placebo among children with household exposure to MDR tuberculosis, the difference was not significant. (Supported by Unitaid and others; TB-CHAMP ISRCTN Registry number, ISRCTN92634082.).
In this randomized, controlled trial involving children with household exposure to multidrug-resistant tuberculosis, levofloxacin led to a lower incidence of tuberculosis than placebo, but the difference was not significant.
Author Conradie, Francesca
Frigati, Lisa
Martinson, Neil A.
Fairlie, Lee
Turner, Rebecca
Staples, Suzanne
Duong, Trinh
Batist, Elize
Nyamathe, Samukelisiwe
Schaaf, H. Simon
Gibb, Diana M.
Seddon, James A.
McGowan, Charlotte
Garcia-Prats, Anthony
Brigden, Joanna
Demers, Anne-Marie
Hesseling, Anneke C.
Purchase, Susan E.
Layton, Charlotte
Author_xml – sequence: 1
  givenname: Anneke C.
  surname: Hesseling
  fullname: Hesseling, Anneke C.
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 2
  givenname: Susan E.
  surname: Purchase
  fullname: Purchase, Susan E.
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 3
  givenname: Neil A.
  surname: Martinson
  fullname: Martinson, Neil A.
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 4
  givenname: Lee
  surname: Fairlie
  fullname: Fairlie, Lee
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 5
  givenname: H. Simon
  surname: Schaaf
  fullname: Schaaf, H. Simon
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 6
  givenname: Joanna
  surname: Brigden
  fullname: Brigden, Joanna
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 7
  givenname: Suzanne
  surname: Staples
  fullname: Staples, Suzanne
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 8
  givenname: Diana M.
  surname: Gibb
  fullname: Gibb, Diana M.
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 9
  givenname: Anthony
  surname: Garcia-Prats
  fullname: Garcia-Prats, Anthony
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 10
  givenname: Francesca
  surname: Conradie
  fullname: Conradie, Francesca
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 11
  givenname: Charlotte
  surname: McGowan
  fullname: McGowan, Charlotte
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 12
  givenname: Charlotte
  surname: Layton
  fullname: Layton, Charlotte
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 13
  givenname: Elize
  surname: Batist
  fullname: Batist, Elize
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 14
  givenname: Anne-Marie
  surname: Demers
  fullname: Demers, Anne-Marie
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 15
  givenname: Samukelisiwe
  surname: Nyamathe
  fullname: Nyamathe, Samukelisiwe
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 16
  givenname: Lisa
  surname: Frigati
  fullname: Frigati, Lisa
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 17
  givenname: Rebecca
  surname: Turner
  fullname: Turner, Rebecca
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 18
  givenname: Trinh
  surname: Duong
  fullname: Duong, Trinh
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
– sequence: 19
  givenname: James A.
  surname: Seddon
  fullname: Seddon, James A.
  organization: From the Department of Pediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Stellenbosch (A.C.H., S.E.P., H.S.S., A.G.-P., E.B., A.-M.D., S.N., J.A.S., L. Frigati), the Perinatal HIV Research Unit (N.A.M.) and the Faculty of Health Sciences, Wits Research Health Institute (L. Fairlie), University of the Witwatersrand, and Isango Lethemba TB Research Unit, Port Elizabeth, Wits Health Consortium (F.C.), Johannesburg, and the Tuberculosis and HIV Investigative Network, Durban (S.S.) — all in South Africa; the Johns Hopkins Center for TB Research, Baltimore (N.A.M.); the Medical Research Council Clinical Trials Unit at University College London (J.B., D.M.G., C.M., C.L., R.T., T.D.) and the Department of Infectious Disease, Imperial College London (J.A.S.) — both in London; the Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin–Madison, Madison (A.G.P.); and the Division of Microbiology, Department of Laboratory Medicine, Centre Hospitalier Universitaire Sainte-Justine, and the Department of Microbiology, Immunology, and Infectious Diseases, Faculty of Medicine, University of Montreal — both in Montreal (A.-M.D.)
BackLink https://www.ncbi.nlm.nih.gov/pubmed/39693542$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1186/s13063-022-06097-z
10.1016/S2214-109X(22)00113-9
10.1093/cid/ciad557
10.1093/cid/cix208
10.1002/sim.4274
10.3201/eid2703.203916
10.1016/S1473-3099(16)30132-3
10.1016/j.ccm.2019.07.008
10.2165/00003495-200363240-00008
10.1186/1471-2334-13-392
10.1016/S0140-6736(20)30166-5
10.1136/bmjopen-2019-033945
10.1186/s13063-018-3070-0
10.1056/NEJMoa2314325
10.1007/s40273-015-0279-6
10.1016/S1473-3099(18)30222-6
10.1136/thoraxjnl-2016-209421
10.1146/annurev-publhealth-031912-114431
10.1093/cid/civ581
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References Fox, GJ, Nhung, NV, Binh, NC (r20) 2024; 391
Marais, BJ, Gie, RP, Schaaf, HS (r9) 2004; 8
Dodd, PJ, Mafirakureva, N, Seddon, JA, McQuaid, CF (r21) 2022; 10
(r8) 2020
(r1) 2022
Marks, SM, Mase, SR, Morris, SB (r7) 2017; 64
Seddon, JA, Hesseling, AC, Godfrey-Faussett, P, Fielding, K, Schaaf, HS (r17) 2013; 13
Graham, SM, Cuevas, LE, Jean-Philippe, P (r13) 2015; 61
Laurence, YV, Griffiths, UK, Vassall, A (r2) 2015; 33
Malik, AA, Gandhi, NR, Lash, TL (r18) 2021; 27
Seddon, JA, Garcia-Prats, AJ, Purchase, SE (r12) 2018; 19
Croom, KF, Goa, KL (r23) 2003; 63
Dye, C, Glaziou, P, Floyd, K, Raviglione, M (r4) 2013; 34
Kasaie, P, Pennington, J, Gupta, A, Dowdy, DW, Kendall, EA (r22) 2024; 78
Huaman, MA, Sterling, TR (r6) 2019; 40
(r5) 2015
Martinez, L, Cords, O, Horsburgh, CR, Andrews, JR (r10) 2020; 395
r19
Ismail, NA, Mvusi, L, Nanoo, A (r24) 2018; 18
Dodd, PJ, Sismanidis, C, Seddon, JA (r3) 2016; 16
Royston, P, Parmar, MKB (r15) 2011; 30
Fox, GJ, Nguyen, CB, Nguyen, TA (r16) 2020; 10
Dodd, PJ, Prendergast, AJ, Beecroft, C, Kampmann, B, Seddon, JA (r11) 2017; 72
Morris, TP, Walker, AS, Williamson, EJ, White, IR (r14) 2022; 23
e_1_3_5_17_2
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e_1_3_5_24_2
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e_1_3_5_11_2
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e_1_3_5_8_2
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Marais BJ (e_1_3_5_10_2) 2004; 8
e_1_3_5_9_2
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References_xml – volume: 72
  start-page: 559
  year: 2017
  end-page: 575
  ident: r11
  article-title: The impact of HIV and antiretroviral therapy on TB risk in children: a systematic review and meta-analysis.
  publication-title: Thorax
– volume: 13
  start-page: 392
  year: 2013
  end-page: 392
  ident: r17
  article-title: Risk factors for infection and disease in child contacts of multidrug-resistant tuberculosis: a cross-sectional study.
  publication-title: BMC Infect Dis
– volume: 78
  start-page: 133
  year: 2024
  end-page: 143
  ident: r22
  article-title: The impact of preventive treatment for multidrug- and rifampin-resistant tuberculosis exceeds trial-based estimates.
  publication-title: Clin Infect Dis
– year: 2015
  ident: r5
  article-title: The end TB strategy ;(https://www.who.int/publications/i/item/WHO-HTM-TB-2015.19)
– volume: 395
  start-page: 973
  year: 2020
  end-page: 984
  ident: r10
  article-title: The risk of tuberculosis in children after close exposure: a systematic review and individual-participant meta-analysis.
  publication-title: Lancet
– volume: 63
  start-page: 2769
  year: 2003
  end-page: 2780
  ident: r23
  article-title: Levofloxacin: a review of its use in the treatment of bacterial infections in the United States
  publication-title: Drugs
– volume: 64
  start-page: 1670
  year: 2017
  end-page: 1677
  ident: r7
  article-title: Systematic review, meta-analysis, and cost-effectiveness of treatment of latent tuberculosis to reduce progression to multidrug-resistant tuberculosis.
  publication-title: Clin Infect Dis
– year: 2020
  ident: r8
  article-title: (https://www.ncbi.nlm.nih.gov/books/NBK554956/pdf/Bookshelf_NBK554956.pdf)
  publication-title: WHO consolidated guidelines on tuberculosis: tuberculosis preventive treatment
– volume: 10
  start-page: e033945
  year: 2020
  end-page: e033945
  ident: r16
  article-title: Levofloxacin versus placebo for the treatment of latent tuberculosis among contacts of patients with multidrug-resistant tuberculosis (the VQUIN MDR trial): a protocol for a randomised controlled trial.
  publication-title: BMJ Open
– volume: 18
  start-page: 779
  year: 2018
  end-page: 787
  ident: r24
  article-title: Prevalence of drug-resistant tuberculosis and imputed burden in South Africa: a national and sub-national cross-sectional survey.
  publication-title: Lancet Infect Dis
– volume: 40
  start-page: 839
  year: 2019
  end-page: 848
  ident: r6
  article-title: Treatment of latent tuberculosis infection-an update.
  publication-title: Clin Chest Med
– volume: 27
  start-page: 805
  year: 2021
  end-page: 812
  ident: r18
  article-title: Effectiveness of preventive therapy for persons exposed at home to drug-resistant tuberculosis, Karachi, Pakistan.
  publication-title: Emerg Infect Dis
– volume: 33
  start-page: 939
  year: 2015
  end-page: 955
  ident: r2
  article-title: Costs to health services and the patient of treating tuberculosis: a systematic literature review.
  publication-title: Pharmacoeconomics
– ident: r19
  article-title: (https://www.clinicaltrials.gov/study/NCT03568383)
– volume: 30
  start-page: 2409
  year: 2011
  end-page: 2421
  ident: r15
  article-title: The use of restricted mean survival time to estimate the treatment effect in randomized clinical trials when the proportional hazards assumption is in doubt.
  publication-title: Stat Med
– volume: 23
  start-page: 328
  year: 2022
  end-page: 328
  ident: r14
  article-title: Planning a method for covariate adjustment in individually randomised trials: a practical guide.
  publication-title: Trials
– volume: 8
  start-page: 392
  year: 2004
  end-page: 402
  ident: r9
  article-title: The natural history of childhood intra-thoracic tuberculosis: a critical review of literature from the pre-chemotherapy era.
  publication-title: Int J Tuberc Lung Dis
– volume: 19
  start-page: 693
  year: 2018
  end-page: 693
  ident: r12
  article-title: Levofloxacin versus placebo for the prevention of tuberculosis disease in child contacts of multidrug-resistant tuberculosis: study protocol for a phase III cluster randomised controlled trial (TB-CHAMP).
  publication-title: Trials
– volume: 10
  start-page: e1034
  issue: 7
  year: 2022
  end-page: e1044
  ident: r21
  article-title: The global impact of household contact management for children on multidrug-resistant and rifampicin-resistant tuberculosis cases, deaths, and health-system costs in 2019: a modelling study.
  publication-title: Lancet Glob Health
– volume: 391
  start-page: 2304
  year: 2024
  end-page: 2314
  ident: r20
  article-title: Levofloxacin for the prevention of multidrug-resistant tuberculosis in Vietnam.
  publication-title: N Engl J Med
– year: 2022
  ident: r1
  article-title: Global tuberculosis report 2022 ;(https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022)
– volume: 16
  start-page: 1193
  year: 2016
  end-page: 1201
  ident: r3
  article-title: Global burden of drug-resistant tuberculosis in children: a mathematical modelling study.
  publication-title: Lancet Infect Dis
– volume: 34
  start-page: 271
  year: 2013
  end-page: 286
  ident: r4
  article-title: Prospects for tuberculosis elimination.
  publication-title: Annu Rev Public Health
– volume: 61
  start-page: S179
  year: 2015
  end-page: S187
  ident: r13
  article-title: Clinical case definitions for classification of intrathoracic tuberculosis in children: an update.
  publication-title: Clin Infect Dis
– ident: e_1_3_5_15_2
  doi: 10.1186/s13063-022-06097-z
– ident: e_1_3_5_20_2
– ident: e_1_3_5_9_2
– ident: e_1_3_5_22_2
  doi: 10.1016/S2214-109X(22)00113-9
– ident: e_1_3_5_23_2
  doi: 10.1093/cid/ciad557
– ident: e_1_3_5_8_2
  doi: 10.1093/cid/cix208
– ident: e_1_3_5_16_2
  doi: 10.1002/sim.4274
– ident: e_1_3_5_19_2
  doi: 10.3201/eid2703.203916
– ident: e_1_3_5_4_2
  doi: 10.1016/S1473-3099(16)30132-3
– ident: e_1_3_5_7_2
  doi: 10.1016/j.ccm.2019.07.008
– ident: e_1_3_5_24_2
  doi: 10.2165/00003495-200363240-00008
– ident: e_1_3_5_18_2
  doi: 10.1186/1471-2334-13-392
– ident: e_1_3_5_11_2
  doi: 10.1016/S0140-6736(20)30166-5
– ident: e_1_3_5_6_2
– ident: e_1_3_5_17_2
  doi: 10.1136/bmjopen-2019-033945
– volume: 8
  start-page: 392
  year: 2004
  ident: e_1_3_5_10_2
  article-title: The natural history of childhood intra-thoracic tuberculosis: a critical review of literature from the pre-chemotherapy era.
  publication-title: Int J Tuberc Lung Dis
– ident: e_1_3_5_13_2
  doi: 10.1186/s13063-018-3070-0
– ident: e_1_3_5_21_2
  doi: 10.1056/NEJMoa2314325
– ident: e_1_3_5_3_2
  doi: 10.1007/s40273-015-0279-6
– ident: e_1_3_5_25_2
  doi: 10.1016/S1473-3099(18)30222-6
– ident: e_1_3_5_12_2
  doi: 10.1136/thoraxjnl-2016-209421
– ident: e_1_3_5_5_2
  doi: 10.1146/annurev-publhealth-031912-114431
– ident: e_1_3_5_14_2
  doi: 10.1093/cid/civ581
– ident: e_1_3_5_2_2
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Snippet In this randomized, controlled trial involving children with household exposure to multidrug-resistant tuberculosis, levofloxacin led to a lower incidence of...
Worldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) , with MDR tuberculosis developing in...
AbstractBackgroundWorldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) Mycobacterium...
Worldwide, approximately 2 million children younger than 15 years of age are infected with multidrug-resistant (MDR) Mycobacterium tuberculosis, with MDR...
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StartPage 2315
SubjectTerms Adolescent
Adolescent Medicine
Adverse events
Age
Antibiotics
Antitubercular Agents - administration & dosage
Antitubercular Agents - adverse effects
Caregivers
Child
Child, Preschool
Childhood Diseases
Children
Disease prevention
Double-Blind Method
Drug dosages
Female
Global Health
HIV
HIV Infections - complications
Human immunodeficiency virus
Humans
Incidence
Infant
Infections
Infectious Disease
Infectious Disease General
Interferon-gamma Release Tests
Kaplan-Meier Estimate
Levofloxacin
Levofloxacin - administration & dosage
Levofloxacin - adverse effects
Male
Multidrug resistance
Mycobacterium tuberculosis - drug effects
Mycobacterium tuberculosis - immunology
Mycobacterium tuberculosis - isolation & purification
Patients
Pediatrics
Pediatrics General
Placebos
Sensitivity analysis
South Africa - epidemiology
Teenagers
Tuberculosis
Tuberculosis, Multidrug-Resistant - diagnosis
Tuberculosis, Multidrug-Resistant - drug therapy
Tuberculosis, Multidrug-Resistant - prevention & control
Tuberculosis, Multidrug-Resistant - transmission
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - drug therapy
Tuberculosis, Pulmonary - prevention & control
Tuberculosis, Pulmonary - transmission
γ-Interferon
SubjectTermsDisplay Adolescent Medicine
Childhood Diseases
Global Health
Infectious Disease
Infectious Disease General
Pediatrics
Pediatrics General
Tuberculosis
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Title Levofloxacin Preventive Treatment in Children Exposed to MDR Tuberculosis
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