Evidence map›Paper›PMID 37947980›Full record

ReviewCurrent HIV/AIDS reports2023

Advancing Diagnosis and Treatment in People Living with HIV and Tuberculosis Meningitis.

Sarah Kimuda, Derrick Kasozi, Suzan Namombwe, Jane Gakuru, Timothy Mugabi, Enock Kagimu, Morris K Rutakingirwa, Kristoffer E Leon, Felicia Chow, Sean Wasserman and 3 more

Open access · hybridAbstract readReview
In one paragraph

Review in Current HIV/AIDS reports, 2023. 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
1.3field-weighted citation impact, top 19% 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, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

13 authors at 6 institutions in 4 countries.

Sarah KimudaInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Derrick KasoziInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Suzan NamombweInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Jane GakuruInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Timothy MugabiInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Enock KagimuInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Morris K RutakingirwaInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Kristoffer E LeonDepartments of Neurology and Medicine (Infectious Diseases), University of California San Francisco, San Francisco, CA, USA.
Felicia ChowDepartments of Neurology and Medicine (Infectious Diseases), University of California San Francisco, San Francisco, CA, USA.
Sean WassermanInstitute for Infection and Immunity, St George's, University of London, London, United Kingdom.
David R BoulwareDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Fiona V CresswellInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Nathan C BahrDivision of Infectious Diseases, Department of Medicine, University of Kansas Medical Center, Kansas City, KS, USA. Nbahr@kumc.edu.ORCID 0000-0002-9431-8938
Infectious Diseases Institute · UGUniversity of California, San Francisco · USBrighton and Sussex Medical School · GBUniversity of Cape Town · ZAUniversity of Kansas Medical Center · USUniversity of Minnesota · US

Funding

PRESCIENT: A phase IIc, open-label, randomized controlled trial of ultra-short course bedaquiline, clofazimine, pyrazinamide and delamanid versus standard therapy for drug-susceptible tuberculosisU01AI170426 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI SERENA Patricia KOENIG, Sean Wasserman · 2022 to 2026
$5.9M
Determining the performance and accuracy of SILVAMP TB LAM and cost-effectiveness of diagnostic testing for TB meningitis.R01AI170158 · NIAID · UNIVERSITY OF MINNESOTA · PI Nathan Bahr · 2022 to 2026
$3.5M
TB Meningitis: Evaluating CSF Immunology to Discover Hidden Disease and Potential Immunomodulatory TherapiesR01AI162786 · NIAID · UNIVERSITY OF MINNESOTA · PI BOULWARE, DAVID R, MEYA, DAVID BISAGAYA · 2021 to 2025
$3.3M
Novel Diagnostic Development for TB Meningitis and HistoplasmosisK23NS110470 · NINDS · UNIVERSITY OF MINNESOTA · PI BAHR, NATHAN · 2019 to 2023
$1.0M
Characterizing the pharmacokinetics of high dose rifampicin and linezolid in a randomized controlled trial for HIV-associated tuberculous meningitisK43TW011421 · FIC · UNIVERSITY OF CAPE TOWN · PI WASSERMAN, SEAN ADAM · 2019 to 2022
$404k
FIC NIH HHS K43 TW011421NIAID NIH HHS R01 AI162786NIAID NIH HHS R01 AI170158NIAID NIH HHS U01 AI170426NINDS NIH HHS K23 NS110470
6 · The paper itself

Abstract

purpose of reviewTuberculous meningitis (TBM) is the most severe form of tuberculosis. Inadequate diagnostic testing and treatment regimens adapted from pulmonary tuberculosis without consideration of the unique nature of TBM are among the potential drivers. This review focuses on the progress being made in relation to both diagnosis and treatment of TBM, emphasizing promising future directions. RECENT

findingsThe molecular assay GeneXpert MTB/Rif Ultra has improved sensitivity but has inadequate negative predictive value to "rule-out" TBM. Evaluations of tests focused on the host response and bacterial components are ongoing. Clinical trials are in progress to explore the roles of rifampin, fluoroquinolones, linezolid, and adjunctive aspirin. Though diagnosis has improved, novel modalities are being explored to improve the rapid diagnosis of TBM. Multiple ongoing clinical trials may change current therapies for TBM in the near future.

Indexed as

HIV InfectionsMycobacterium tuberculosisTuberculosis, MeningealTuberculosis, PulmonaryHumansRifampinSensitivity and SpecificityRifampinCentral nervous system infectionDiagnostic testsTBTuberculosisTuberculous meningitis

Identifiers

PMID37947980
PMCPMC10719136
OpenAlexW4388569018

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.