Table 3.
Measurement | Antibiotic oral decontamination | Antiseptic oral decontamination | |||||
---|---|---|---|---|---|---|---|
Relative risk (95% CI) | No of studies (No of patients) | Ratio of relative risks (95% CI), P value* | Relative risk (95% CI) | No of studies (No of patients) | Ratio of relative risks (95% CI); P value* | ||
Allocation: | |||||||
Concealed† | 0.73 (0.42 to 1.28) | 3 (1031) | — | 0.60 (0.40 to 0.89) | 6 (2084) | — | |
Unconcealed | 0.26 (0.03 to 2.19) | 1 (67) | 0.33 (0.14 to 0.80) | 1 (60) | |||
Blinding: | |||||||
Blinded‡ | — | — | NA§ | 0.66 (0.47 to 0.93) | 5 (1986) | 2.36 (1.09 to 5.10); 0.03 | |
Unblinded | — | — | 0.28 (0.14 to 0.56) | 2 (158) | |||
Patient population: | |||||||
Medical or mixed | — | — | NA¶ | 0.70 (0.44 to 1.10) | 4 (739) | 1.67 (0.86 to 3.22); 0.13 | |
Selected surgical or trauma | — | — | 0.42 (0.26 to 0.67) | 3 (1405) | |||
Duration of ventilation (hours): | |||||||
≥48 | — | — | NA** | 0.56 (0.34 to 0.91) | 6 (1190) | — | |
<48 | — | — | 0.51 (0.34 to 0.75) | 1 (954) | |||
Ventilator associated pneumonia diagnostic criteria: | — | ||||||
Quantitative culture of bronchoalveolar lavage fluid | 0.58 (0.28 to 1.22) | 2 (935) | 0.74 (0.16 to 3.53); P=0.71 | 0.21 (0.07 to 0.64) | 1 (98) | — | |
Non-quantitative culture of aspirate or others | 0.78 (0.20 to 3.12) | 2 (163) | 0.61 (0.44 to 0.86) | 6 (2046) |
*Comparison of estimates in each subgroup (for example, concealed versus unconcealed trials).
†Concealed = reported as open, or unclear.
‡Patients, caregivers, and data collectors or outcome assessors blinded, or reported as double blind.
§None were unblinded.
¶None were surgical or trauma patients.
**None were ventilated for <48 hours.