What is the treatment of latent tuberculosis (LTBI)?

Clinical scenario

Latent tuberculosis infection (LTBI) represents a state of persistent immune response to Mycobacterium tuberculosis without signs of active disease. Identifying and treating LTBI is a core strategy for preventing progression to active tuberculosis. This protocol addresses first-line antibiotic management of LTBI.

Treatment approach

Recommended management involves antibiotic therapy, with isoniazid-based regimens forming the backbone of most approaches. Both monotherapy and combination regimens are among the recognised options.

The complete regimen selection — including all options, criteria for choosing between them, and course details — is available in the full protocol below.

Instant Access to Structured Evidence-Based Regimens

References

Treatment options recommended for LTBI include: 6-month daily isoniazid, or 9 month daily isoniazid, or 3 month weekly rifapentine plus isoniazid, or 3–4 month daily isoniazid plus rifampicin, or 3–4 month daily rifampicin alone.

DOI: 10.1183/13993003.01245-2015

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