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. 2013 Dec 2;2013(12):CD001058. doi: 10.1002/14651858.CD001058.pub3

Comparison 1. Any antibiotic versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Maternal death 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 Any antibiotic versus placebo 3 763 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
1.2 All penicillin (excluding co‐amoxiclav) versus placebo 1 85 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
1.3 Beta lactum (including co‐amoxiclav) versus placebo  0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
1.4 Macrolide (including erythromycin) versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
1.5 Other antibiotic versus placebo 2 678 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
2 Serious maternal morbidity 0   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.1 Any antibiotic versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
2.2 All penicillin (excluding co‐amoxiclav) versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
2.3 Beta lactum (including co‐amoxiclav) versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
2.4 Macrolide (including erythromycin) versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
2.5 Other antibiotic versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3 Perinatal death/death before discharge 12   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
3.1 Any antibiotic versus placebo 12 6301 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.76, 1.14]
3.2 All penicillin (excluding co‐amoxiclav) versus placebo 4 332 Risk Ratio (M‐H, Random, 95% CI) 0.78 [0.31, 1.97]
3.3 Beta lactum (including co‐amoxiclav) versus placebo 2 1880 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.15, 2.56]
3.4 Macrolide (including erythromycin) versus placebo 4 2138 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.43, 1.60]
3.5 Other antibiotic versus placebo 3 762 Risk Ratio (M‐H, Random, 95% CI) 1.13 [0.68, 1.88]
4 Neonatal infection including pneumonia 12   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
4.1 Any antibiotic versus placebo 12 1680 Risk Ratio (M‐H, Random, 95% CI) 0.67 [0.52, 0.85]
4.2 All penicillin (excluding co‐amoxiclav) versus placebo 5 521 Risk Ratio (M‐H, Random, 95% CI) 0.30 [0.13, 0.68]
4.3 Beta lactum (including co‐amoxiclav) versus placebo 1 62 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.88]
4.4 Macrolide (including erythromycin) versus placebo 3 334 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.45, 1.37]
4.5 Other antibiotic versus placebo 3 763 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.53, 0.95]
5 Neonatal necrotising enterocolitis 11   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
5.1 Any antibiotic versus placebo 11 6229 Risk Ratio (M‐H, Random, 95% CI) 1.09 [0.65, 1.83]
5.2 All penicillin (excluding co‐amoxiclav) versus placebo 3 262 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.25, 2.97]
5.3 Beta lactum (including co‐amoxiclav) versus placebo 2 1880 Risk Ratio (M‐H, Random, 95% CI) 4.72 [1.57, 14.23]
5.4 Macrolide (including erythromycin) versus placebo 3 2076 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.45, 1.69]
5.5 Other antibiotic versus placebo 4 823 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.54, 1.47]
6 Oxygen treatment > 36 weeks' postconceptual age 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
6.1 Any antibiotic versus placebo 1 4809 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.70, 1.17]
6.2 All penicillin (excluding co‐amoxiclav) versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
6.3 Beta lactum (including co‐amoxiclav) versus placebo 1 1818 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.63, 1.36]
6.4 Macrolide (including erythromycin) versus placebo 1 1803 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.61, 1.32]
6.5 Other antibiotic versus placebo 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7 Major cerebral abnormality on ultrasound before discharge 12   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 Any antibiotic versus placebo 12 6289 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.68, 0.98]
7.2 All penicillin (excluding co‐amoxiclav) versus placebo  3 262 Risk Ratio (M‐H, Random, 95% CI) 0.49 [0.25, 0.96]
7.3 Beta lactum (including co‐amoxiclav) versus placebo 2 1880 Risk Ratio (M‐H, Random, 95% CI) 0.78 [0.52, 1.16]
7.4 Macrolide (including erythromycin) versus placebo  4 2136 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.60, 1.44]
7.5 Other antibiotic versus placebo 4 823 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.45, 1.64]
8 Birth before 37 weeks' gestation 3 4931 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.98, 1.03]
9 Major adverse drug reaction 3 5487 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
10 Maternal infection after delivery prior to discharge 4 5547 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.80, 1.02]
11 Chorioamnionitis 11 1559 Risk Ratio (M‐H, Random, 95% CI) 0.66 [0.46, 0.96]
12 Caesarean section 11 6317 Risk Ratio (M‐H, Random, 95% CI) 0.96 [0.88, 1.05]
13 Days from birth till discharge of mother 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
14 Days from randomisation to birth 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
15 Birth within 48 hours of randomisation 7 5927 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.58, 0.87]
16 Birth within 7 days of randomisation 7 5965 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.71, 0.89]
17 Birthweight 12 6374 Mean Difference (IV, Random, 95% CI) 53.83 [7.06, 100.60]
18 Birthweight < 2500 g 2 4876 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.96, 1.04]
19 Neonatal intensive care 4 5023 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.84, 1.13]
20 Days in neonatal intensive care unit 3 225 Mean Difference (IV, Random, 95% CI) ‐5.05 [‐9.77, ‐0.33]
21 Positive neonatal blood culture 3 4961 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.63, 0.99]
22 Neonatal respiratory distress syndrome 12 6287 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.83, 1.09]
23 Treatment with surfactant 1 4809 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.72, 0.96]
24 Number of babies requiring ventilation 2 4924 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.80, 1.02]
25 Number of babies requiring oxygen therapy 1 4809 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.81, 0.96]
26 Neonatal oxygenation > 28 days 3 5487 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.61, 1.03]
27 Neonatal encephalopathy 1 60 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
28 Serious childhood disability at 7 years 1 3171 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.91, 1.12]