Evidence map›Paper›PMID 25859480›Full record

ArticleJournal of clinical and diagnostic research : JCDR2015

Combination Versus Monotherapy for the Treatment of HIV Associated Cryptococcal Meningitis.

Shashank Anant Vaidhya, Bharat Bhushan Gupta, Rajesh Kumar Jha, Ravindra Kumar

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% of its field
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Treatment for HIV-associated cryptococcal meningitis.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Article
  4. Integrated therapy for HIV and cryptococcosis.AIDS research and therapy · 2016
    Review
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

4 authors at 1 institution in 1 country.

Shashank Anant VaidhyaAssociate Professor, Department of Medicine, Sri Aurobindo Medical College and PG Insitute , Indore, India .
Bharat Bhushan GuptaAssociate Professor, Department of Medicine, Sri Aurobindo Medical College and PG Insitute , Indore, India .
Rajesh Kumar JhaProfessor and Head, Department of Medicine, Sri Aurobindo Medical College and PG Insitute , Indore, India .
Ravindra KumarScientist, Central Research Laboratory, Sri Aurobindo Medical College and PG Insitute , Indore, India .
Aurobindo Pharma (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the efficacy of anti Cryptococcal treatment by cerebrospinal fluid (CSF) fungal negativity after two weeks of treatment with amphotericin B alone or combined with fluconazole in treatment of HIV associated Cryptococcal meningitis (CM). MATERIALS AND

methodsA total of 84 human immunodeficiency virus (HIV) associated CM patients confirmed by CSF culture positivity were recruited for the study. Patients were randomly divided into two groups. Group A was given amphotericin B alone whereas Amphotericin B in combination with fluconazole was given in group B for the treatment of CM. Patients were followed for 14 days.

resultsMaximum number of patients was in the age group 21-49 y. All the 84 patients had <100 CD4 counts/μl. After 14 days of the treatment in group A and B, there was no significant difference in terms of fever, headache and neck stiffness as a clinical outcome. But in group B there was improved in altered sensorium and focal neurological deficit as compared to group A. After 14 days of the treatment CSF culture negativity was more in group B as compared to group A.

conclusionAmphotericin B in combination with fluconazole is recommended for the treatment of HIV associated CM.

Indexed as

Amphotericin BCombination therapyCryptococcal MeningitisFluconazoleHIV

Identifiers

PMID25859480
PMCPMC4378762
OpenAlexW2316552869

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.