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Friday, November 16, 2018

PEDIATRICS PEARL: Newborn's mother has recently tested positive for PPD and chest x-ray negative

Newborn's mother has recently tested positive for PPD and chest x-ray negative:

How do you manage child?

Don't do anything to child at birth; no isolation from mother is needed; follow-up in clinic when child is around 6 weeks of age and place PPD. If PPD is negative, do tuberculin test every 3 months for 1 year; if PPD is positive, do CXR; if CXR is negative, give INH for 6 months; if CXR is positive, give three antitubercular drugs for first 2 momths, then two drugs for next 4 months. Mother should be treated and other household members should be evaluated. H IV-infected patients should receive INH for 12 months. INH-resistant patients should receive rifampin.

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