Can This Child Take the 4-Month TB Regimen? (WHO, Non-Severe TB)

Says whether a child can take the WHO 4-month TB regimen.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age in years
4
Weight in kg
15
What is available
Chest X-ray and bacteriology available
Chest X-ray pattern
One lobe, no cavities, no miliary pattern
Xpert or smear result
Xpert low
Isolated peripheral lymph node TB
No
Any danger or high-priority sign
No
Severe acute pneumonia
No
TB treated in the past 2 years
No
Drug-resistant TB suspected or known
No
The other 2 values
Living with HIV
No
High HIV or isoniazid-resistance setting
No

Result: 4 months (2HRZ/2HR): a chest X-ray consistent with non-severe TB, Xpert low, and mild symptoms (Box 5.3 A).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Age in years (for infants, 3 months = 0.25)
  • Weight in kg
  • What is available
  • Chest X-ray pattern
  • Xpert or smear result
  • Isolated peripheral lymph node TB
  • Any danger or high-priority sign, asymmetric persistent wheeze, other extrapulmonary TB, SAM, respiratory distress, fever over 39 °C, severe pallor, restlessness, irritability or lethargy
  • Severe acute pneumonia
  • TB treated in the past 2 years
  • Drug-resistant TB suspected or known
The other 2 fields
  • Living with HIV
  • High HIV or isoniazid-resistance setting
How this is calculated

Citation

WHO. Operational handbook on tuberculosis. Module 5: management of tuberculosis in children and adolescents. Geneva: WHO; 2022. Boxes 5.2 and 5.3 and sections 5.2.4-5.2.5 (pp. 90-94). Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.