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. 2020 Apr 28;2020(4):CD013594. doi: 10.1002/14651858.CD013594

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
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.