2018
DOI: 10.1056/nejmoa1714284
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Safety and Side Effects of Rifampin versus Isoniazid in Children

Abstract: Among children under the age of 18 years, treatment with 4 months of rifampin had similar rates of safety and efficacy but a better rate of adherence than 9 months of treatment with isoniazid. (Funded by the Canadian Institutes of Health Research and Conselho Nacional de Pesquisa; ClinicalTrials.gov number, NCT00170209 .).

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Cited by 134 publications
(101 citation statements)
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“…Isoniazid, taken daily for six or nine months, is associated with a reduction in risk of future tuberculosis disease in all age groups and has been the mainstay of treatment for M.tb infection for fifty years. 42 Newer alternatives to the six or nine month isoniazid regimen include three months of daily therapy with both isoniazid and rifampicin, 43 three months of weekly isoniazid and rifapentine, 44 four months of daily rifampicin 45 and one month of daily isoniazid and rifapentine. 46 Compared to nine-month regimens, shorter regimens are associated with improved adherence -a particular issue in adolescents 47 -and at least equivalent efficacy, with no increase in adverse events.…”
Section: Mtb Infectionmentioning
confidence: 99%
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“…Isoniazid, taken daily for six or nine months, is associated with a reduction in risk of future tuberculosis disease in all age groups and has been the mainstay of treatment for M.tb infection for fifty years. 42 Newer alternatives to the six or nine month isoniazid regimen include three months of daily therapy with both isoniazid and rifampicin, 43 three months of weekly isoniazid and rifapentine, 44 four months of daily rifampicin 45 and one month of daily isoniazid and rifapentine. 46 Compared to nine-month regimens, shorter regimens are associated with improved adherence -a particular issue in adolescents 47 -and at least equivalent efficacy, with no increase in adverse events.…”
Section: Mtb Infectionmentioning
confidence: 99%
“…46 Compared to nine-month regimens, shorter regimens are associated with improved adherence -a particular issue in adolescents 47 -and at least equivalent efficacy, with no increase in adverse events. 36,45 Tuberculosis prevention has been historically neglected in high tuberculosis burden settings due to resource constraints. 47 The Sustainable Development Goals place new emphasis on prevention, as demonstrated in both the End TB Strategy 48 and in the WHO/UNICEF Roadmap Towards Ending Tuberculosis in Children and Adolescents.…”
Section: Mtb Infectionmentioning
confidence: 99%
“…The bitter taste of isoniazid and the size of the tablet provided further difficulties when encouraging children to take their medication in multiple studies . Shorter, 3–4‐month regimens combining rifamycin antibiotics and isoniazid have recently been developed and shown to be safe and effective in children with improved adherence, while dissolvable, flavoured dose combinations have been used in active TB treatment since 2016 . Producing and making use of similar formulations in IPT would be an achievable and beneficial step along the pathway to better treatment options for latent TB in children.…”
Section: Discussionmentioning
confidence: 99%
“…However, adherence to isoniazid is suboptimal. Canadian researchers randomised children <18 years with LTBI to 4 months of once‐daily oral rifampicin or 9 months of once‐daily oral isoniazid . Children given rifampicin ( n = 422) were significantly more likely than those given isoniazid ( n = 407) to complete therapy (85.3 vs. 76.4%).…”
mentioning
confidence: 99%