Evidence map›Paper›PMID 24349775›Full record

ArticleTuberculosis research and treatment2013

Early Therapeutic Drug Monitoring for Isoniazid and Rifampin among Diabetics with Newly Diagnosed Tuberculosis in Virginia, USA.

Scott K Heysell, Jane L Moore, Debbie Staley, Denise Dodge, Eric R Houpt

Abstract read
In one paragraph

Article in Tuberculosis research and treatment, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Targeted therapeutic drug monitoring identifies frequent under-dosing of TB drugs.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2025
    Article
  5. Article
  6. Therapeutic drug monitoring in tuberculosis.European journal of clinical pharmacology · 2024
    Review
  7. Review
  8. Precision Medicine Strategies to Improve Isoniazid Therapy in Patients with Tuberculosis.European journal of drug metabolism and pharmacokinetics · 2024
    Review
  9. Role of therapeutic drug monitoring in the treatment of multi-drug resistant tuberculosis.Journal of clinical tuberculosis and other mycobacterial diseases · 2024
    Article
  10. Article
  11. Therapeutic drug monitoring and TB treatment outcomes in patients with diabetes mellitus.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  12. Clinical standards for the dosing and management of TB drugs.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Scott K HeysellDivision of Infectious Diseases and International Health, University of Virginia, P.O. Box 801340, Charlottesville, VA 22908-1340, USA.
Jane L MooreTuberculosis Control and Prevention, Virginia Department of Health, Richmond, VA, USA.
Debbie StaleyTuberculosis Control and Prevention, Virginia Department of Health, Richmond, VA, USA.
Denise DodgeTuberculosis Control and Prevention, Virginia Department of Health, Richmond, VA, USA.
Eric R HouptDivision of Infectious Diseases and International Health, University of Virginia, P.O. Box 801340, Charlottesville, VA 22908-1340, USA.

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
Tuberculosis Second Line Drug Susceptibility ChipR01AI093358 · NIAID · UNIVERSITY OF VIRGINIA · PI HOUPT, ERIC R · 2011 to 2015
$4.0M
Clinical Impact of Anti-TB Drug Levels and M. Tuberculosis SusceptibilityK23AI099019 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYSELL, SCOTT K · 2012 to 2016
$649k
NIAID NIH HHS K23 AI099019NIAID NIH HHS R01 AI093358NIAID NIH HHS T32 AI007046
6 · The paper itself

Abstract

Slow responders to tuberculosis (TB) treatment in Virginia have prolonged treatment duration and consume more programmatic resources. Diabetes is an independent risk factor for slow response and low serum anti-TB drug concentrations. Thus, a statewide initiative of early therapeutic drug monitoring (TDM) for isoniazid and rifampin at 2 weeks after TB treatment was piloted for all diabetics with newly diagnosed TB. During the period of early TDM, 12/01/2011-12/31/2012, 21 diabetics had C 2 hr concentrations performed and 16 (76%) had a value below the expected range for isoniazid, rifampin, or both. Fifteen had follow-up concentrations after dose adjustment and 12 (80%) increased to within the expected range (including all for rifampin). Of 16 diabetic patients with pulmonary TB that had early TDM, 14 (88%) converted their sputum culture to negative in <2 months. Early TDM for diabetics was operationally feasible, may speed response to TB therapy, and can be considered for TB programs with high diabetes prevalence.

Identifiers

PMID24349775
PMCPMC3855970

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.