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Treatment of latent tuberculous infection in children and adolescent

Korean Journal of Pediatrics 2009;52(5):519-528.
Published online May 15, 2009.
Treatment of latent tuberculous infection in children and adolescent
Jong-Hyun Kim
Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea
소아청소년기 잠복결핵 감염의 치료
김종현
가톨릭대학교 의과대학 소아과학교실
Correspondence: 
Jong-Hyun Kim, Email: jh00mn@catholic.ac.kr
Abstract
Tuberculosis continues to cause an unacceptably high toll of disease and death among children worldwide. Whereas intense scientific and clinical research efforts into novel diagnostic, therapeutic, and preventive interventions have focused on tuberculosis in adults, childhood tuberculosis has been relatively neglected. However, children are particularly vulnerable to severe disease and death following infection, and those with latent infection become the reservoir for future transmission following disease reactivation in adulthood, fuelling future epidemics. Therefore, it is very important to understand the significance, diagnosis and treatment of latent tuberculous infection to decrease a future disease burden of tuberculosis. Unfortunately, these concept still have not fully implicated in Korean National Tuberculosis Control Program, it should be engaged and enforced as soon as possible.
Key Words: Tuberculosis, Children, Latent tuberculous infection, LTBI, Tuberculin skin test, Interferon gamma releasing assay, Anti-tuberculous drug


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