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. 2011 Nov 20;2011:712150. doi: 10.1155/2011/712150

Table 2.

Randomized controlled trials of short- versus long-course antibiotic therapy in neonatal bacterial sepsis/pneumonia.

Author Population Antibiotics used Duration of treatment Outcomes Conclusion
Engle et al., 2000 [53] Term and near-term neonates with pneumonia.
Excluded babies with meconium stained amniotic fluid and O2 requirement for >8 hours.
Ampicillin and gentamicin 4 days (n = 35)
versus
7 days (n = 38)
Success defined as neonates doing well after discharge and no need for rehospitalization for sepsis or pneumonia The success rate for therapy was similar between the two groups

Chowdhary et al., 2006 [54] ≥32 weeks and >1500 grams with positive blood culture.
Excluded deep seated infections and meningitis
Not specified 7 days (n = 34)
versus
14 days (n = 35)
Treatment failure within 28 days There was a trend towards more treatment failures in 7-day group as compared to 14-day group (5 infants versus 1 infant, P = 0.19)

Gathwala et al., 2010 [55] Infants ≥32 weeks and >1500 grams with positive blood culture.
Excluded deep seated infections and meningitis
Cefotaxime and amikacin 10 days (n = 30)
versus
14 days (n = 30)
Treatment failure within 28 days 10-day course was as effective as 14-day course in blood-culture-proven neonatal