Cochrane · systematic review · CD010891

Genetic testing for prevention of severe drug‐induced skin rash

Alfirevic, A, Pirmohamed, M, Marinovic, B, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

SkinAMSTAR 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
8
current version
GRADE rated
2
No studies
6
Included studies
NR
No studies 6 · 75%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 2 · 25%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

Comparison

Population: patients with HIV‐1 infection and a pre‐established clinical need for treatment with an antiretroviral drug regimen containing abacavir but with an unknown HLA‐B*57:01 status.
8 questions
OutcomeEffectEvidenceStatus / GRADE
Severe skin drug‐induced rash
no estimate extractedNRNo studies
Long‐term sequelae
no estimate extractedNRNo studies
Hospitalisation for drug‐induced skin reaction
no estimate extractedNRNo studies
SJS/TEN (Stevens‐Johnson syndrome/toxic epidermal necrolysis)
no estimate extractedNRNo studies
AGEP (acute generalised exanthematous pustulosis)
no estimate extractedNRNo studies
HSS (hypersensitivity) reaction including SJS/TEN (clinically diagnosed) (6 weeks clinical assessment)
RR 0.43 [0.28, 0.67]1 study · 1650 participantsModerate
Downgraded: risk of bias
HSS reaction including SJS/TEN (immunologically confirmed) (6 weeks clinical assessment)
RR 0.02 [0, 0.37]1 study · 1644 participantsModerate
Downgraded: risk of bias
Death
no estimate extractedNRNo studies