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. 2005 Apr 20;2005(2):CD004539. doi: 10.1002/14651858.CD004539.pub2

Tornqvist 1985.

Methods Randomised controlled trial. 
 Single centre (Swedish) study between November 1979 and December 1982. 
 Randomisation method: not stated. 
 Blinding of assessors: not stated. 
 Patient stratification: not performed. 
 Power calculation: not performed.Intention‐to‐treat analysis: not performed.Sub‐group analysis: not performed. 
 Follow up: 3‐5 weeks.
Participants Number of patients: 148. 
 Clinically evaluable patients: 122. 
 59 (Cefuroxime, C) versus 63 (Cefuroxime/metronidazole, C‐M). 
 Median age: 66 (C), 61 (C‐M).Age range: 16‐93. 
 Inclusion criteria: patients operated upon for diffuse peritonitis. 
 Exclusion criteria: not stated.
Interventions 2 regimens: 
 1) Cefuroxime 1.5 g (8 hourly). 
 2) Cefuroxime 1.5 g and metronidazole 500 mg (8 hourly). 
 Timing of antibiotic infusion: mainly pre‐operatively. 
 Length: > 3 days.
Outcomes Mortality. 
 Wound infection and intra‐abdominal sepsis.
Notes 42/122 (34%) of patients had perforated appendicitis.No statistically significant difference shown.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear