Cochrane · systematic review · CD004795

Fluoroquinolones for treating tuberculosis (presumed drug‐sensitive)

Ziganshina, LE, Titarenko, AF, Davies, GR · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

Infectious DiseasesAMSTAR 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
21
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 7 · 33.3%Very low 10 · 47.6%Low 4 · 19%Moderate 0 · 0%High 0 · 0%

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

Fluoroquinolone plus standard regimen compared to standard regimen alone for presumed drug‐sensitive TB

Population: Patients with presumed drug‐sensitive TB
7 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure
Fluoroquinolone plus standard regimen vs standard regimen alone
no estimate extracted0 studies · 0 participantsUngraded
Relapse
Fluoroquinolone plus standard regimen vs standard regimen alone
no estimate extracted0 studies · 0 participantsUngraded
Death from any cause
Fluoroquinolone plus standard regimen vs standard regimen alone
RR 0.27 [0.03, 2.47]1 study · 174 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
TB‐related death
Fluoroquinolone plus standard regimen vs standard regimen alone
RR 0.8 [0.05, 12.4]1 study · 174 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Sputum culture conversion at 8 weeks
Fluoroquinolone plus standard regimen vs standard regimen alone
RR 0.98 [0.91, 1.07]1 study · 174 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Serious adverse events
Fluoroquinolone plus standard regimen vs standard regimen alone
RR 0.85 [0.4, 1.78]1 study · 174 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
One or more adverse event
Fluoroquinolone plus standard regimen vs standard regimen alone
RR 1 [0.52, 1.92]1 study · 174 participantsVery low
Downgraded: risk of bias, indirectness

Fluoroquinolone substitution for ethambutol in a standard six month regimen compared to standard regimen for presumed drug‐sensitive TB

Population: Patients with presumed drug‐sensitive TB
7 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
no estimate extracted0 studies · 0 participantsUngraded
Relapse
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
RR 0.71 [0.17, 3.06]1 study · 170 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Death from any cause
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
RR 0.52 [0.21, 1.32]3 studies · 723 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
TB‐related death
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
RR 0.33 [0.01, 8.07]1 study · 170 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Sputum culture conversion at 8 weeks
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
RR 1.07 [0.97, 1.19]3 studies · 723 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Serious adverse events
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
RR 0.93 [0.53, 1.62]3 studies · 723 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
One or more adverse events
Fluoroquinolone substitution for ethambutol in a standard six month regimen vs standard regimen
no estimate extracted0 studies · 0 participantsUngraded

Fluoroquinolone substitution for isoniazid in a standard six month regimen compared to standard regimen for presumed drug‐sensitive TB

Population: Patients with presumed drug‐sensitive TB
7 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
no estimate extracted0 studies · 0 participantsUngraded
Relapse
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
no estimate extracted0 studies · 0 participantsUngraded
Death from any cause
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
RR 0.75 [0.17, 3.3]1 study · 433 participantsLow
Downgraded: risk of bias, imprecision
TB‐related death
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
RR 2 [0.18, 21.84]1 study · 433 participantsLow
Downgraded: risk of bias, imprecision
Sputum culture conversion at 8 weeks
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
RR 1.1 [0.91, 1.33]1 study · 433 participantsLow
Downgraded: risk of bias, imprecision
Serious adverse events
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
RR 1.1 [0.43, 2.8]1 study · 433 participantsLow
Downgraded: risk of bias, imprecision
One or more adverse event
Fluoroquinolone substitution for isoniazid in a standard six month regimen vs standard regimen
no estimate extracted0 studies · 0 participantsUngraded