Evidence map›Paper›PMID 27393541›Full record

SynthesisThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2016

Rifampicin resistance after treatment for latent tuberculous infection: a systematic review and meta-analysis.

S den Boon, A Matteelli, H Getahun

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Potential Impact of Long-Acting Products on the Control of Tuberculosis: Preclinical Advancements and Translational Tools in Preventive Treatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  10. Testing and Scaling Interventions to Improve the Tuberculosis Infection Care Cascade.Journal of the Pediatric Infectious Diseases Society · 2022
    Review
  11. Article
  12. Article
  13. WHO target product profiles for TB preventive treatment.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  14. Clinical standards for the diagnosis, treatment and prevention of TB infection.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  15. Subclinical Tuberculosis: Some Flies in the Ointment.American journal of respiratory and critical care medicine · 2021
    Article
  16. Review
  17. No evidence of increased risk of acquired rifampin resistance.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  18. Review
  19. Responsible use of rifampin for the treatment of latent tuberculosis infection.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  20. Treatment of Latent Tuberculosis Infection.Microbiology spectrum · 2017
    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

3 authors at 1 institution in 1 country.

S den BoonIndependent consultant, Geneva, Switzerland.
A MatteelliThe Global TB Programme, World Health Organization, Geneva, Switzerland.
H GetahunThe Global TB Programme, World Health Organization, Geneva, Switzerland.
World Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

settingTreatment for latent tuberculous infection (LTBI) reduces the risk of tuberculosis (TB) disease. Shorter, rifamycin-containing regimens have been shown to be as effective as 6 months of isoniazid and superior with regard to safety and completion rate. It is unknown whether preventive therapy with rifamycins increases resistance to the drugs used.

objectiveTo determine whether treatment for LTBI with rifamycin-containing regimens leads to significant development of resistance against rifamycins.

designSystematic review and meta-analysis.

resultsWe included six randomised-controlled trials of rifamycin-containing regimens for LTBI treatment that reported drug resistance. There was no statistically significant increased risk of rifamycin resistance after LTBI treatment with rifamycin-containing regimens compared to non-rifamycin-containing regimens (RR 3.45, 95%CI 0.72-16.56; P = 0.12) or placebo (RR 0.20, 95%CI 0.02-1.66; P = 0.13).

conclusionPreventive treatment with rifamycin-containing regimens does not significantly increase rifamycin resistance. Programmatic management of LTBI requires the creation of sound surveillance systems to monitor drug resistance.

Indexed as

Drug Resistance, BacterialAdolescentAdultAgedAntibiotics, AntitubercularChildFemaleHumansLatent TuberculosisMaleMiddle AgedMycobacterium tuberculosisOdds RatioRandomized Controlled Trials as TopicRifampinRisk AssessmentAntibiotics, AntitubercularRifampin

Identifiers

PMID27393541
PMCPMC5642842
OpenAlexW2493987025

What OpenQuestion holds

Textmetadata
LicenceTDM
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.