학술논문

Tuberculosis in children with severe acute malnutrition
Document Type
article
Source
Expert Review of Respiratory Medicine. 16(3)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Infectious Diseases
Pediatric
Rare Diseases
Tuberculosis
Infection
Good Health and Well Being
Zero Hunger
Child
Global Health
Humans
Infant
Severe Acute Malnutrition
Childhood tuberculosis
tuberculosis
severe acute malnutrition
Public Health and Health Services
Respiratory System
Cardiovascular medicine and haematology
Language
Abstract
IntroductionWith growing attention globally to the childhood tuberculosis epidemic after decades of neglect, and with the burden of severe acute malnutrition (SAM) remaining unacceptably high worldwide, the collision of these two diseases is an important focus for improving child health.Areas coveredThis review describes the clinical and public health implications of the interplay between tuberculosis and SAM, particularly for children under the age of five, and identifies priority areas for improved programmatic implementation and future research. We reviewed the literature on PubMed and other evidence known to the authors published until August 2021 relevant to this topic.Expert opinionTo achieve the World Health Organization's goal of eliminating deaths from childhood tuberculosis and to improve the abysmal outcomes for children with SAM, further research is needed to 1) better understand the epidemiologic connections between child tuberculosis and SAM, 2) improve case finding of tuberculosis in children with SAM, 3) assess unique treatment considerations for tuberculosis when children also have SAM, and 4) ensure tuberculosis and SAM are strongly addressed in decentralized, integrated models of providing primary healthcare to children.