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 3-year-old HIV-exposed, HIV-uninfected child lives in a household with a mother who was diagnosed 2 days ago with bacteriological-confirmed rifampicin-susceptible pulmonary TB. The child is asymptomatic, tuberculin skin test (TST) is 3 mm, and chest radiograph is normal. What is the correct preventive management according to South African guidelines?

Give a booster dose of BCG vaccine immediately Start full 4-drug active TB treatment (RHZE) for 6 months Initiate TB Preventive Therapy (TPT) with 3 months of weekly Isoniazid and Rifapentine (3HP) or 3 months of daily Rifampicin and Isoniazid (3RH) No intervention required as the child is HIV-uninfected and TST is negative

Correct Answer:

Initiate TB Preventive Therapy (TPT) with 3 months of weekly Isoniazid and Rifapentine (3HP) or 3 months of daily Rifampicin and Isoniazid (3RH)

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