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. 2007 Jul 18;2007(3):CD004404. doi: 10.1002/14651858.CD004404.pub3

Comparison 1. Antibiotics for treatment of whooping cough.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Mortality 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Ampicillin (treatment) versus untreated control group, oxytetracycline, chloramphenicol or erythromycin 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.14, 65.90]
1.2 Aureomycin (treatment) versus chloramphenicol (control) 1 194 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.06, 16.09]
2 Complete remission (clinical cure) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 Erythromycin estolate for 14 days (treatment) versus erythromycin ethylsuccinate for 14 days (control) 1 189 Risk Ratio (M‐H, Fixed, 95% CI) 3.43 [1.16, 10.13]
3 Clinical improvement (better condition) after one week 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Trimethoprim/sulfamethoxazole (treatment) versus tetracycline (control) 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.70, 1.83]
4 Decreased frequency of cough 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 Erythromycin estolate for 14 days (treatment) versus erythromycin ethylsuccinate for 14 days (control) 1 189 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.90, 1.24]
5 Presence of any sign or symptoms of whooping cough 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
5.1 Erythromycin estolate for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 168 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.96, 1.03]
6 Microbiological eradication 10   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 Ampicillin (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.2 Oxytetracycline (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 17.0 [1.11, 259.87]
6.3 Chloramphenicol (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 15.0 [0.97, 231.84]
6.4 Erythromycin (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 19.0 [1.25, 287.92]
6.5 Erythromycin estolate for 14 days (treatment) versus erythromycin ethylsuccinate for 14 days (control) 1 190 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.95, 1.03]
6.6 Erythromycin stearate for 7 days (treatment) versus co‐trimoxazole for 7 days (control) 1 19 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.65, 1.90]
6.7 Erythromycin estolate for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 153 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.96, 1.03]
6.8 Azithromycin (treatment) for 3 days versus erythromycin for 14 days (control) 1 45 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.92, 1.16]
6.9 Azithromycin (treatment) for 5 days versus erythromycin estolate for 10 days (control) 1 106 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.96, 1.04]
6.10 Clarithromycin for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 54 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.94, 1.17]
6.11 Trimethoprim/sulphamethoxazole for 7 days (treatment) versus tetracycline (control) for 7 days 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.94, 1.06]
6.12 Sulfadiazine/trimethoprim for 6 days (treatment) versus chloramphenicol for 6 days (control) 1 33 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.67, 1.26]
6.13 Ampicillin (treatment) versus chloramphenicol (control) 1 95 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.65, 1.03]
7 Bacteriological relapse 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
7.1 Ampicillin (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.26, 3.81]
7.2 Oxytetracycline (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.04, 2.69]
7.3 Chloramphenicol (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.26, 3.81]
7.4 Erythromycin (treatment) versus untreated group (control) 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.04, 2.69]
7.5 Erythromycin estolate for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 155 Risk Ratio (M‐H, Fixed, 95% CI) 3.45 [0.14, 83.44]
7.6 Azithromycin (treatment) for 5 days versus erythromycin estolate for 10 days (control) 1 104 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Respiratory complications 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 Aureomycin (treatment) versus chloramphenicol (control) 1 194 Risk Ratio (M‐H, Fixed, 95% CI) 1.43 [0.47, 4.35]
9 Complications (otitis media) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.1 Clarithromycin for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 153 Risk Ratio (M‐H, Fixed, 95% CI) 0.08 [0.00, 1.36]
10 All side effects 6   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 Erythromycin estolate for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 168 Risk Ratio (M‐H, Fixed, 95% CI) 0.76 [0.51, 1.12]
10.2 Azithromycin (treatment) for 3 days versus erythromycin for 14 days (control) 1 122 Risk Ratio (M‐H, Fixed, 95% CI) 0.38 [0.19, 0.75]
10.3 Clarithromycin for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 153 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.53, 0.97]
10.4 Ampicillin for 6 days (treatment) versus chloramphenicol for 6 days (control) 1 148 Risk Ratio (M‐H, Fixed, 95% CI) 1.81 [0.94, 3.48]
10.5 Erythromycin estolate for 14 days (treatment) versus erythromycin ethylsuccinate for 14 days (control) 1 190 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.35, 1.46]
10.6 Aureomycin (chlortetracycline) (treatment) versus chloramphenicol (control) 1 194 Risk Ratio (M‐H, Fixed, 95% CI) 1.28 [0.63, 2.58]
11 Gastro‐intestinal system side effects 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11.1 Clarithromycin for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 153 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.47, 1.08]
11.2 Azithromycin (treatment) for 5 days versus erythromycin estolate for 10 days (control) 1 477 Risk Ratio (M‐H, Fixed, 95% CI) 0.46 [0.34, 0.62]
12 Side effects (diarrhoea) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
12.1 Erythromycin stearate for 7 days (treatment) versus co‐trimoxazole for 7 days (control) 1 22 Risk Ratio (M‐H, Fixed, 95% CI) 2.4 [0.25, 22.75]
13 Compliance (detected by antimicrobial activity in urine) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
13.1 Erythromycin estolate for 14 days (treatment) versus erythromycin ethylsuccinate for 14 days (control) 1 108 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.69, 0.94]
14 Compliance (presented as number of children who took 100% of prescribed doses) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
14.1 Azithromycin (treatment) for 5 days versus erythromycin estolate for 10 days (control) 1 477 Risk Ratio (M‐H, Fixed, 95% CI) 1.63 [1.45, 1.85]
15 Compliance (presented as percentage of drugs taken) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
15.1 Clarithromycin for 7 days (treatment) versus erythromycin estolate for 14 days (control) 1 200 Mean Difference (IV, Fixed, 95% CI) 9.90 [5.34, 14.46]