Skip to main content
. 2018 Jul 25;2018(7):CD005647. doi: 10.1002/14651858.CD005647.pub3

Summary of findings 16. Short‐course L‐AmB + FLU compared to two weeks of L‐AmB + FLU for HIV‐associated cryptococcal meningitis.

Short‐course L‐AmB + FLU compared to two weeks of L‐AmB + FLU for HIV‐associated cryptococcal meningitis
Patient or population: HIV‐infected individual with first episode of cryptococcal meningitis
 Setting: randomized controlled trial
 Intervention: short‐course L‐AmB + FLU
 Comparison: 2 weeks of L‐AmB + FLU
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) Number of participants
 (trials) Certainty of the evidence
 (GRADE)
Risk with 2 weeks of L‐AmB + FLU Risk with short‐course L‐AmB + FLU
Mortality: 10 weeks 286 per 1000 294 per 1000
 (134 to 643) RR 1.03
 (0.47 to 2.25) 79
 (1 RCT) ⊕⊕⊝⊝
 LOW1
*The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 Abbreviations: CI: confidence interval; FLU: fluconazole; L‐AmB: liposomal amphotericin B; RCT: randomized controlled trial; RR: risk ratio
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to that of the estimate of the effect.
 Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
 Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
 Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.

1Downgraded two levels for imprecision. Data from a single small study with few events and broad CI including appreciable benefit and appreciable harm.