Population Pharmacokinetic Analysis of Rifampicin in Plasma, Cerebrospinal Fluid, and Brain Extracellular Fluid in South African Children with Tuberculous Meningitis

Author:

Abdelgawad Noha1ORCID,Tshavhungwe Mvuwo (Phophi)2,Rohlwink Ursula23,McIlleron Helen14ORCID,Abdelwahab Mahmoud T.1,Wiesner Lubbe1,Castel Sandra1,Steele Chanel1,Enslin Johannes (Nico)2,Thango Nqobile Sindiswa2,Denti Paolo1ORCID,Figaji Anthony23

Affiliation:

1. Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa

2. Division of Neurosurgery, Department of Surgery, University of Cape Town, Cape Town, South Africa

3. Neuroscience Institute, University of Cape Town, Cape Town, South Africa

4. Wellcome Centre for Infectious Diseases Research in Africa (CIDRI-Africa), Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa

Abstract

Limited knowledge is available on the pharmacokinetics of rifampicin in children with tuberculous meningitis (TBM) and its penetration into brain tissue, which is the site of infection. In this analysis, we characterize the distribution of rifampicin in cerebrospinal fluid (CSF), lumbar (LCSF) and ventricular (VCSF), and brain extracellular fluid (ECF).

Funder

South African Research Chairs

Ernest Oppenheimer Memorial Trust

HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development

HHS | NIH | Fogarty International Center

HHS | NIH | National Institute of Allergy and Infectious Diseases

International Maternal Pediatric Adolescent AIDS Clinical Trials Network

Wellcome Trust

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference42 articles.

1. Tuberculous meningitis

2. World Health Organization. 2014. Guidance for national tuberculosis programmes on the management of tuberculosis in children, second edition. World Health Organization, Geneva, Switzerland.

3. Penetration of Drugs through the Blood-Cerebrospinal Fluid/Blood-Brain Barrier for Treatment of Central Nervous System Infections

4. Short Intensified Treatment in Children with Drug-susceptible Tuberculous Meningitis

5. WHO operational handbook on tuberculosis. 2022. Module 5: management of tuberculosis in children and adolescents. World Health Organization Geneva Switzerland.

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