An assessment of nucleic acid amplification testing for active mycobacterial infection



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Author

Country

Study design

Quality appraisal

Research question

Included studies (N)

Population

Intervention

Comparator

Outcomes

Forget and Menzies (2006)

Canada


Systematic review (literature search of Medline, relevant articles from authors’ files and pearled references from cited articles)

Quality appraisal: poor

High risk of bias


Research question:

NS

Included studies:



NS

Active TB patients

Latent TB patients

TB patients on multidrug regimens


Isoniazid, rifampicin, pyrazinamide, ethambutol, streptomycin

Multidrug regimens



Various

Discontinuation rate

AE rate


Mortality rate

Risk factors for development of AEs



Frydenberg & Graham (2009)

Australia



Systematic review (literature search of PubMed, EMBASE and Cochrane Library Reference, hand-search of reference lists)

Quality appraisal: medium

Some risk of bias


Research question:

To review the frequency and manifestations of toxicities in children to current first-line anti-TB therapy

Included studies:

NS


Children (0–18 years of age) undergoing first-line therapy for TB, or therapy for latent TB

Anti-TB agents, isoniazid, rifampicin, pyrazinamide, ethambutol, streptomycin

Combination therapies



NS

Adverse reaction incidence

AE rate


van der Werf et al. (2012)

The Netherlands



Systematic review and meta-analysis (methodology according to the Cochrane Handbook for Systematic Reviews and PRISMA)

Quality appraisal: good

Low risk of bias


Research question:

To assess the risk of development of MDR-TB after the use of inappropriate TB regimens

Included studies:

4 (2 studies included in meta-analysis)



Non-MDR patients receiving treatment for TB and who underwent drug-resistance measurement and genotype of the isolated MTB bacilli before treatment started, and drug resistance and genotype in failure and/or recurrent TB cases

Inappropriate treatment regimens for diagnosed non-MDR-TB

Appropriate treatment regimens for non-MDR-TB

MDR-TB

AE = adverse events; MDR = multidrug-resistant; NS = not stated; TB = tuberculosis

Table Study profiles of included studies on the effectiveness of NAAT in diagnosing NTM infections




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