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Peer reviewedOpen accessTuberculosisHIV infectionAIDS

Update of Recommendations for Use of Once-Weekly Isoniazid-Rifapentine Regimen to Treat Latent Mycobacterium tuberculosis Infection

MMWR. Morbidity and Mortality Weekly Report·

Andrey S. Borisov, Sapna Bamrah Morris, Gibril J. Njie, Carla A. Winston, Deron Burton, Stefan Goldberg, Rachel Yelk Woodruff, Leeanna Allen, Philip LoBue, Andrew Vernon

DOI
10.15585/mmwr.mm6725a5
PMID
29953429
PMCID
PMC6023184
OpenAlex
W2811025390
Study type
Systematic review
Publisher
Centers for Disease Control MMWR Office
Article type
journal-article
Integrity
current

Why this research matters now

Broadening access to highly adherent preventive therapies supports national objectives to interrupt pathogen transmission and reduce disease burden across varied demographic groups.

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Structured evidence summary

Research question

How should federal guidelines adapt the once-weekly isoniazid-rifapentine protocol for preventing active tuberculosis, particularly regarding age restrictions and supervision requirements?

Study design

The authors conducted a systematic review and meta-analysis evaluating existing literature before formulating revised federal treatment directives.

Population and setting

The analysis targets residents within the United States carrying asymptomatic mycobacterial infections, specifically extending coverage to pediatric cohorts and immunocompromised individuals.

Main findings

Aggregated data demonstrated comparable safety and therapeutic outcomes relative to established alternatives, alongside markedly improved medication adherence. These results prompted expanded eligibility criteria and authorized unsupervised dosing protocols.

Public-health relevance

Broadening access to highly adherent preventive therapies supports national objectives to interrupt pathogen transmission and reduce disease burden across varied demographic groups.

Important limitations

This summary relies exclusively on the submitted abstract and metadata, requiring the original publication for decision-grade interpretation.

GIDS interpretation

Classified under health policy and infectious disease management, this record serves as a reference for tracking regulatory shifts in antimicrobial prophylaxis rather than generating novel epidemiological data.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicevaluates interventioninforms policy domainstudied instudied population settingstudies populationstudies populationuses study design