Evidence map›Paper›PMID 39296342›Full record

ArticleOpen forum infectious diseases2024

Intermittent Versus Daily Trimethoprim/Sulfamethoxazole Regimens for

Tetsuhiro Masaki, Kazuhiro Ishikawa, Takahisa Fujino, Ryosuke Koyamada, Fujimi Kawai, Erika Ota, Shinichiro Mori

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Prophylaxis Regimens forJournal of fungi (Basel, Switzerland) · 2026
    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

7 authors.

Tetsuhiro MasakiDepartment of Haematology, St Luke's International Hospital, Chuo-ku, Tokyo, Japan.ORCID https://orcid.org/0009-0001-3056-7353
Kazuhiro IshikawaDepartment of Infectious Diseases, St Luke's International Hospital, Chuo-ku, Tokyo, Japan.
Takahisa FujinoDepartment of Haematology, St Luke's International Hospital, Chuo-ku, Tokyo, Japan.
Ryosuke KoyamadaDepartment of Haematology, St Luke's International Hospital, Chuo-ku, Tokyo, Japan.
Fujimi KawaiLibrary, Department of Academic Resources, St Luke's International University, Chuo-ku, Tokyo, Japan.
Erika OtaGraduate School of Nursing Sciences, St Luke's International University, Chuo-ku, Tokyo, Japan.
Shinichiro MoriDepartment of Haematology, St Luke's International Hospital, Chuo-ku, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In immunocompromised individuals, trimethoprim/sulfamethoxazole (TMP/SMX) for Methods: This systematic review included randomized controlled trials (RCTs) indexed in the Cochrane Central Register of Controlled Trials, PubMed, Ichushi, or Embase databases, published from database inception to September 2023. The inclusion criteria were adults taking intermittent or daily TMP/SMX for PCP prophylaxis. Risk of bias was assessed using the Cochrane risk-of-bias tool. The primary outcomes were PCP incidence, PCP-related mortality, and adverse events requiring temporary or permanent TMP/SMX discontinuation. Results: Four RCTs (N = 2808 patients) were included. PCP incidence did not differ significantly between the intermittent and daily regimen groups (risk ratio [RR], 1.17 [95% confidence interval {CI}, .89-1.53]; certainty: very low). There was no PCP-related mortality in the 3 RCTs reporting its outcome. Compared with the daily regimen group, the intermittent regimen group experienced significantly fewer adverse events requiring temporary or permanent TMP/SMX discontinuation (RR, 0.51 [95% CI, .42-.61]; certainty: low). Conclusions: This systematic review and meta-analysis suggests that intermittent TMP/SMX regimens for PCP prophylaxis may be more tolerable than daily regimens and may have similar efficacy. Further RCTs are needed to apply this to current practice.

Indexed as

daily prophylaxisintermittent prophylaxisPCPPneumocystis pneumoniatrimethoprim/sulfamethoxazole

Identifiers

PMID39296342
PMCPMC11409865

What OpenQuestion holds

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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.