Evidence map›Paper›PMID 39721747›Full record

Observational studyBMJ open respiratory research2024

6-month regimen of isoniazid prevention therapy for tuberculosis among people living with human immunodeficiency virus in minority areas of China: a 3-year prospective cohort study.

Jing Li, Jinge He, Ting Li, Yunkui Li, Wenfeng Gao, Yin Zhong, Ni Yang, Chuang Chen, Lan Xia, Wen Yang

Abstract readObservational Study
In one paragraph

Observational study in BMJ open respiratory research, 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. 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

10 authors.

Jing LiSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.ORCID 0000-0001-9194-0695
Jinge HeSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China hejinge@163.com.
Ting LiSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Yunkui LiSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Wenfeng GaoSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Yin ZhongSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Ni YangSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Chuang ChenSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Lan XiaSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.
Wen YangSichuan Provincial Centre for Disease Prevention and Control, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs China is scaling up tuberculosis preventive therapy (TPT) for people living with HIV (PLHIV) in its national programmes, the objective of this study was to evaluate the feasibility and performance of 6-month regimen of isoniazid monotherapy (6H) in terms of preventive therapy acceptance, adherence, effectiveness and outcomes in minority areas with a high burden of tuberculosis (TB) and HIV/AIDS.

methodA prospective observational cohort study was initiated among 461 PLHIV in Butuo County after ruling out active TB (ATB) and followed up for up to 3 years to collect incidence events in real-world settings. TB incidence and protective rates were calculated. The risk factors related to acceptance and adherence were identified using a logistic regression model.

resultsOf the 688 PLHIV screened for TB, 115 (16.72 %) had ATB. Among the 461 participants eligible for 6H, 392 (85.03%) initiated 6H, and 277 (70.67%) completed the therapy. In total, 15 were identified as having ATB during follow-up. The incidence of ATB in the complete group was 0.62/100 person years (95% CI 0.20 to 1.45) as compared with the incomplete group 2.96/100 person years (95% CI 1.36 to 5.63) (p=0.005), and the protective rate of 6H was 79.05%. The protection rate between the complete and incomplete and refusal groups was 69.31%. In total, 142 (36.22%) patients experienced adverse drug reactions during isoniazid preventive therapy. The logistic regression model revealed several factors associated with 6H acceptance: first CD4

conclusion6H can reduce the incidence of ATB in minority areas with high burdens of TB and HIV/AIDS. Periodic counselling of patients on adherence and retraining of the TPT staff are essential. Health monitoring and education for specific populations improve TPT acceptance and adherence.

Indexed as

Antitubercular AgentsDrug MonitoringHIV InfectionsIsoniazidTuberculosisAdultChinaFemaleHumansIncidenceMaleMiddle AgedMinority GroupsProspective StudiesRisk FactorsAntitubercular AgentsIsoniazidTuberculosis

Identifiers

PMID39721747
PMCPMC11683910

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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.