Cochrane · systematic review · CD003463

Trypanocidal drugs for chronic asymptomatic Trypanosoma cruzi infection

Villar, JC, Perez, JG, Cortes, OL, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 2 · 28.6%Moderate 2 · 28.6%High 1 · 14.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Nitroderivatives for chronic asymptomatic Trypanosoma cruzi infection

Population: people with chronic asymptomatic Trypanosoma cruzi infection
4 questions
OutcomeEffectEvidenceStatus / GRADE
Positive serology: RCT data ‐ nitroderivatives Conventional serology, AT and F29 ELISA techniques
OR 0.12 [0.03, 0.42]3 studies · 524 participantsModerate
Positive PCR: RCT data ‐ benznidazole‐ Children PCR
OR 0.51 [0.25, 1.04]1 study · 129 participantsModerate
Positive xenodiagnosis: all populations ‐ RCT data ‐ nitroderivatives Xenodiagnosis
OR 0.09 [0.04, 0.18]2 studies · 366 participantsHigh
Mean reduction of antibodies titres: all populations, all tested drugs Mean change of antibodies
no estimate extracted3 studies · 225 participantsLow

Nitroderivatives for chronic asymptomatic Trypanosoma cruzi infection

Population: people with chronic asymptomatic Trypanosoma cruzi infection
3 questions
OutcomeEffectEvidenceStatus / GRADE
ECG Abnormalities ‐ RCT data ‐ benznidazole
OR 0.41 [0.07, 2.31]2 studies · 235 participantsLow
Progression of cardiomyopathy: non‐RCT data ‐ adults ‐ nitroderivatives Emergence of substantial changes in the diagnostic tests or clinical status, or both (see text)
OR 0.74 [0.32, 1.73]4 studies · 986 participantsVery low
Mortality: non‐RCT data ‐ adults ‐ nitroderivatives All‐cause mortality
OR 0.55 [0.26, 1.14]6 studies · 3396 participantsVery low