An assessment of nucleic acid amplification testing for active mycobacterial infection


Early versus delayed treatment of TB



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Early versus delayed treatment of TB

Early identification of drug resistance

Unnecessary antibiotic treatment

Population

Patients with clinical signs and symptoms of active TB and a low pre-test probability of active TB

Patients with clinical signs and symptoms of active TB and a high pre-test probability of active TB, who are identified at some point as having rifampicin resistance

Subgroups: those patients able to have an AFB microscopy, and those unable to have AFB microscopy



Patients with clinical signs and symptoms of active TB (true positives or false positives)

Intervention

Immediate treatment for TB, i.e. antibiotics

Early treatment with antibiotics, other than rifampicin

Treatment for TB with antibiotics

Comparators

Treatment for TB delayed 6–8 weeks (due to negative AFB result, negative NAAT result, or clinical judgement that patient does not have TB based on histology, until culture results received)

Standard treatment for active TB (including rifampicin), delayed treatment with alternative antibiotics

No treatment for TB

Outcomes

Time to symptom resolution, quality of life, length of infectious period, number of contacts infected

Time to symptom resolution, quality of life, length of infectious period, number of contacts infected

AEs from antibiotic treatment

Study design

Randomised trials, cohort studies, case series or systematic reviews of these study designs

Randomised trials, cohort studies, case series or systematic reviews of these study designs

Systematic reviews of randomised trials

Search period

1990 – June 2014 or inception of the database if later than 1990

1990 – June 2014 or inception of the database if later than 1990

1990 – June 2014 or inception of the database if later than 1990

Language

Studies in languages other than English will only be translated if they represent a higher level of evidence than that available in the English language evidence-base

Studies in languages other than English will only be translated if they represent a higher level of evidence than that available in the English language evidence-base

Studies in languages other than English will only be translated if they represent a higher level of evidence than that available in the English language evidence-base

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