Evidence map›Paper›PMID 31905437›Full record

ArticleTuberculosis and respiratory diseases2020

Effectiveness of Intravenous Isoniazid and Ethambutol Administration in Patients with Tuberculosis Meningoencephalitis and HIV Infection.

Dmytro Butov, Yurii Feshchenko, Mykhailo Kuzhko, Mykola Gumenuik, Kateryna Yurko, Alina Grygorova, Anton Tkachenko, Natalia Nekrasova, Tetiana Tlustova, Vasyl Kikinchuk and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Tuberculosis and respiratory diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. A clinical practice guideline for tuberculous meningitis.The Lancet. Infectious diseases · 2026
    Guideline
  2. Trial
  3. ISCCM Position Statement on the Approach to and Management of Critically Ill Patients with Tuberculosis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
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

12 authors at 5 institutions in 1 country.

Dmytro ButovDepartment of Phthisiology and Pulmonology, Kharkiv National Medical University, Kharkiv, Ukraine. dddimad@gmail.com.ORCID https://orcid.org/0000-0002-8792-901X
Yurii FeshchenkoDepartment of Technologies of Treatment of Nonspecific Lung Diseases, National Institute of Phthisiology and Pulmonology named after F. G. Yanovskyi NAMS of Ukraine, Kiev, Ukraine.
Mykhailo KuzhkoDepartment of Resistent Tuberculosis, National Institute of Phthisiology and Pulmonology named after F. G. Yanovskyi NAMS of Ukraine, Kiev, Ukraine.
Mykola GumenuikDepartment of Technologies of Treatment of Nonspecific Lung Diseases, National Institute of Phthisiology and Pulmonology named after F. G. Yanovskyi NAMS of Ukraine, Kiev, Ukraine.
Kateryna YurkoDepartment of Infectious Diseases, Kharkiv National Medical University, Kharkiv, Ukraine.
Alina GrygorovaDepartment of Research, Kharkiv National Medical University, Kharkiv, Ukraine.
Anton TkachenkoDepartment of Biochemistry, Kharkiv National Medical University, Kharkiv, Ukraine.
Natalia NekrasovaDepartment of Neurology, Kharkiv National Medical University, Kharkiv, Ukraine.
Tetiana TlustovaDepartment of Medicine, National Institute of Phthisiology and Pulmonology named after F. G. Yanovskyi NAMS of Ukraine, Kiev, Ukraine.
Vasyl KikinchukDepartment of Criminalistics and Forensic Science, Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.
Alexandr PeshenkoDepartment of Criminalistics and Forensic Science, Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.
Tetiana ButovaDepartment of Internal Medicine, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine.
Kharkiv National Medical University · UAInstitute of Pediatrics, Obstetrics, and Gynecology named after acad. O.M. Lukyanova of the National Academy of Medical Sciences of Ukraine · UAKharkiv National University of Internal Affairs · UARomodanov Neurosurgery Institute of the National Academy of Medical Sciences of Ukraine · UAV. N. Karazin Kharkiv National University · UA

Funding

National Academy of Sciences of Ukraine 0111U001173
6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the effectiveness of intravenous isoniazid (H) and ethambutol (E) administered in patients with new sputum positive drug-susceptible pulmonary tuberculosis (TB) with tuberculous meningoencephalitis (TM) and human immunodeficiency virus (HIV) co-infection in the intensive phase of treatment.

methodsFifty-four patients with TB/TM and HIV co-infection were enrolled for this study. Group 1 comprised of 23 patients treated with E and H intravenously, while rifampicin and pyrazinamide were prescribed orally. Group 2 consisted of 31 patients treated with the first-line anti-TB drugs orally. The concentrations of H and E in blood serum were detected using a chromatographic method.

resultsA significant improvement in the clinical symptoms and X-ray signs in patients treated intravenously with H and E was observed and compared to group 2. The sputum

conclusionIn TB/TM with HIV, the intravenous H and E treatment was more effective than oral H and E treatment at 2 months of intensive treatment in sputum conversion as well as in clinical improvement, accompanied by significantly higher mean serum concentrations. In addition, the mortality rate was lower in intravenous H and E treatment compared to oral treatment.

Indexed as

EthambutolHuman Immunodeficiency VirusIsoniazidTreatmentTuberculosisTuberculous Meningitis

Identifiers

PMID31905437
PMCPMC6953493
OpenAlexW2972337661

What OpenQuestion holds

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LicenceCC BY-NC
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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.