5. Additional summary 1: amphotericin B formulations versus azoles.
Early ART compared with deferred ART for PDH in HIV | |||
Patient or population: adults with HIV and progressive disseminated histoplasmosis Settings: endemic areas Intervention: induction therapy with triazoles Comparison: induction therapy with amphotericin B formulations | |||
Outcomes | Narrative summary | Certainty of the evidence (GRADE) | Comments |
Treatment success | No RCTs make direct comparisons of amphotericin B and triazoles. Treatment success of triazoles (other than fluconazole) were 83% and 85% in the 2 studies which reported them. | ⊕⊝⊝⊝ Very lowa,b |
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ART: antiretroviral therapy; PDH: progressive disseminated histoplasmosis; RCT: randomized controlled trial. |
aDowngraded two levels for serious imprecision. The CIs are wide due to small numbers of participants. bDowngraded one level for serious indirectness. No studies report direct comparisons.