PEDIATRICS Vol. 42 No. 3 September 1968, pp. 393-394
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INFANTS OF TUBERCULOUS MOTHERS: FURTHER THOUGHTS

Committee on Drugs and Amerucan Academy of Pediatrics

Elsewhere in this issue, Avery and Wolfsdorf1 present a well balanced review of the choices open to the pediatrician in the management of an infant horn to a tubercubus mother. If the baby is infected at birth, immunization (BCG) cannot be used and chemotherapy (INH) is mandatory. Controversy does exist as to what constitutes optimal management for those infants not infected at birth but at high risk of contacting tuberculosis because of active or quiescent disease in members of their households. Management by chemoprophylaxis with INH, immunization with BCG, or observation with frequent tuberculin tests as reviewed by Avery, would constitute accepted practice for most infants who are born to responsible, well motivated parents.