Cert ID(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Infectious Diseases Cert ID(SA) Paed - South Africa Exam

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A 14-month-old HIV-infected boy on Abacavir/Lamivudine/Dolutegravir presents with a 3-week history of persistent non-remitting cough, weight loss, and failure to thrive. Gastric aspirate for Xpert MTB/RIF Ultra returns positive with Mycobacterium tuberculosis detected (trace) and rifampicin resistance not detected. According to the South African National Department of Health (NDoH) paediatric TB guidelines, what is the recommended first-line intensive phase treatment regimen and duration?

Rifampicin and Isoniazid (RH) for 2 months plus High-dose Levofloxacin Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol (RHZE) for 2 months Rifampicin, Isoniazid, and Ethambutol (RHE) for 3 months Rifampicin, Isoniazid, and Pyrazinamide (RHZ) for 2 months

Correct Answer:

Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol (RHZE) for 2 months

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