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. 2013 Dec 11;2013:1606.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Cure rate

RCT
33 women
In review
Cure rate
15/15 (100%) with ofloxacin (oral then IV) plus metronidazole
7/18 (39%) with clindamycin plus gentamicin

RR 1.06
95% CI 0.95 to 1.18
The review reported that overall trial quality was poor
Not significant

RCT
115 women
In review
Cure rate
46/55 (84%) with cefoxitin plus doxycycline
52/60 (87%) with clindamycin plus gentamicin

RR 0.97
95% CI 0.83 to 1.12
The review reported that overall trial quality was poor
Not significant

RCT
198 women
In review
Cure rate
75/94 (80%) with cefoxitin plus doxycycline
87/104 (84%) with clindamycin plus gentamicin

RR 0.95
95% CI 0.84 to 1.09
The review reported that overall trial quality was poor
Not significant

RCT
130 women
In review
Cure rate
64/67 (96%) with cefoxitin plus doxycycline
57/63 (90%) with clindamycin plus gentamicin

RR 1.06
95% CI 0.96 to 1.16
Overall effect size
RR 1.01
95% CI 0.93 to 1.08
The review reported that overall trial quality was poor
Not significant

RCT
131 women
In review
Cure rate
49/64 (77%) with ceftriaxone plus doxycycline
57/67 (85%) with ciprofloxacin plus clindamycin

RR 0.90
95% CI 0.76 to 1.07
The review reported that overall trial quality was poor
Not significant

RCT
148 women
In review
Cure rate
73/75 (97%) with cefoxitin plus doxycycline
70/73 (96%) with clindamycin plus tobramycin

RR 1.02
95% CI 0.96 to 1.08
The review reported that overall trial quality was poor
Not significant

RCT
249 women
In review
Cure rate
75/121 (62%) with cefoxitin plus probenecid plus doxycycline
80/128 (63%) with ofloxacin

RR 0.99
95% CI 0.82 to 1.20
The review reported that overall trial quality was poor
Not significant

RCT
62 women
In review
Cure rate
30/31 (97%) with cefoxitin plus doxycycline
28/31 (90%) with clindamycin plus amikacin

RR 1.07
95% CI 0.94 to 1.22
The review reported that overall trial quality was poor
Not significant

RCT
79 women
In review
Cure rate
38/40 (95%) with cefoxitin plus doxycycline
36/39 (92%) with clindamycin plus tobramycin

RR 1.03
95% CI 0.98 to 1.08
The review reported that overall trial quality was poor
Not significant

RCT
72 women
In review
Cure rate
34/35 (97%) with cefoxitin plus probenecid plus doxycycline
35/37 (95%) with ofloxacin

RR 1.03
95% CI 0.93 to 1.13
Overall effect size
RR 1.02
95% CI 0.97 to 1.06
The review reported that overall trial quality was poor
Not significant

RCT
25 women
In review
Cure rate
13/15 (87%) with clindamycin plus gentamicin
10/10 (100%) with ciprofloxacin

RR 0.87
95% CI 0.71 to 1.06
The review reported that overall trial quality was poor
Not significant

RCT
76 women
In review
Cure rate
38/40 (95%) with clindamycin plus gentamicin
33/36 (92%) with ceftazidime plus doxycycline

RR 1.04
95% CI 0.92 to 1.17
The review reported that overall trial quality was poor
Not significant

RCT
68 women
In review
Cure rate
34/35 (97%) with clindamycin plus gentamicin
33/33 (100%) with ciprofloxacin (plus clindamycin in one women)

RR 0.97
95% CI 0.92 to 1.03
The review reported that overall trial quality was poor
Not significant

RCT
84 women
In review
Cure rate
40/40 (100%) with clindamycin plus gentamicin
41/44 (93%) with meropenem

RR 1.07
95% CI 0.99 to 1.16
The review reported that overall trial quality was poor
Not significant

RCT
77 women
In review
Cure rate
39/40 (98%) with clindamycin plus gentamicin plus doxycycline
37/37 (100%) with imipenem plus cilastin (plus doxycycline in some women)

RR 0.98
95% CI 0.93 to 1.02
The review reported that overall trial quality was poor
Not significant

RCT
58 women
In review
Cure rate
21/29 (72%) with clindamycin plus gentamicin
23/29 (79%) with cefotaxime

RR 0.91
95% CI 0.68 to 1.22
The review reported that overall trial quality was poor
Not significant

RCT
30 women
In review
Cure rate
14/14 (100%) with clindamycin plus gentamicin
15/16 (94%) with ciprofloxacin

RR 0.98
95% CI 0.90 to 1.07
Overall effect size
RR 1.00
95% CI 0.96 to 1.04
The review reported that overall trial quality was poor
Not significant

RCT
81 women
In review
Cure rate
10/42 (24%) with amoxicillin/clavulanate
9/39 (25%) with amoxicillin plus aminoglycoside plus metronidazole

RR 1.03
95% CI 0.47 to 2.27
The review reported that overall trial quality was poor
Not significant

RCT
20 women
In review
Cure rate
2/10 (20%) with ampicillin plus metronidazole
10/10 (100%) with doxycycline plus oxytetracycline/tetracycline plus metronidazole

RR 0.20
95% CI 0.06 to 0.69
The review reported that overall trial quality was poor
Large effect size doxycycline plus oxytetracycline/tetracycline plus metronidazole

RCT
44 women
In review
Cure rate
20/22 (91%) with amoxicillin/clavulanate
19/22 (86%) with ampicillin (or amoxicillin) plus gentamicin plus metronidazole

RR 1.05
95% CI 0.85 to 1.30
The review reported that overall trial quality was poor
Not significant

RCT
60 women
In review
Cure rate
28/30 (93%) with ampicillin
28/30 (93%) with cefoxitin

RR 1.00
95% CI 0.87 to 1.14
The review reported that overall trial quality was poor
Not significant

RCT
33 women
In review
Cure rate
17/18 (94%) with doxycycline plus amoxicillin/clavulanate
15/15 (100%) with ofloxacin plus amoxicillin/clavulanate

RR 0.94
95% CI 0.84 to 1.06
The review reported that overall trial quality was poor
Not significant

RCT
47 women
In review
Cure rate
22/23 (97%) with ampicillin
18/24 (75%) with doxycycline

RR 1.28
95% CI 1.00 to 1.63
Overall effect size
RR 1.05
95% CI 0.91 to 1.22
The review reported that overall trial quality was poor
Not significant

RCT
34 women
In review
Cure rate
14/16 (88%) with imipenem plus cilastatin
18/18 (100%) with meropenem

RR 0.88
95% CI 0.73 to 1.05
The review reported that overall trial quality was poor
Not significant

RCT
36 women
In review
Cure rate
16/19 (84%) with cefoxitin
14/17 (82%) with cefotaxime

RR 1.02
95% CI 0.76 to 1.37
Overall effect size
RR 0.95
95% CI 0.87 to 1.04
The review reported that overall trial quality was poor
Not significant

RCT
64 women
In review
Cure rate
42/44 (95%) with lymecycline
9/20 (45%) with clindamycin

RR 2.12
95% CI 1.30 to 3.46
The review reported that overall trial quality was poor
Moderate effect size lymecycline

RCT
79 women
In review
Cure rate
40/40 (100%) with azithromycin plus metronidazole
38/39 (97%) with azithromycin

RR 0.89
95% CI 0.50 to 1.57
The review reported that overall trial quality was poor
Not significant

RCT
36 women
In review
Cure rate
14/20 (70%) with doxycycline plus metronidazole
15/16 (94%) with ciprofloxacin

RR 0.75
95% CI 0.55 to 1.02
Overall effect size
RR 0.80
95% CI 0.52 to 1.24
The review reported that overall trial quality was poor
Not significant

RCT
741 women with PID, without pelvic or tubo-ovarian abscess Resolution of signs and symptoms 5–24 days post-treatment
262/289 (90.7%) with ofloxacin plus metronidazole
248/275 (90.2%) with moxifloxacin alone

Difference +0.5%
95% CI –5.7% to +4.0%
The review reported that overall trial quality was poor
Not significant

RCT
669 women with uncomplicated acute PID Clinical cure rate (defined as reduction of ≥70% in severity score and normal temperature and leukocyte count) 2–14 days post-treatment
222/342 (64.7%) with oral moxifloxacin for 14 days
212/326 (65%) with oral doxycycline plus oral metronidazole for 14 days plus one oral ciprofloxacin dose

P >0.05
Not significant

RCT
669 women with uncomplicated acute PID Clinical success rate (defined as clinical cure or improvement i.e., <70% reduction but >30% plus normal temperature and leukocyte count) 21–35 days post-treatment
206/343 (60%) with oral moxifloxacin for 14 days
191/326 (59%) with oral doxycycline plus oral metronidazole for 14 days plus one oral ciprofloxacin dose

P >0.05
Not significant

RCT
120 women with mild PID treated in an outpatient setting Cure rate (defined as absence or reduction of pelvic tenderness as compared to baseline pain levels) day 14
42/58 (72%) with doxycycline
56/62 (90%) with azithromycin plus placebo

P = 0.01
azithromycin

RCT
120 women with mild PID treated in an outpatient setting Cure rate (defined as reduction of >70% on VAS) day 14
23/42 (55%) with doxycycline
35/56 (63%) with azithromycin plus placebo

P = 0.53
Not significant

RCT
120 women with mild PID treated in an outpatient setting Cure rate (defined as reduction of >70% on modified McCormack pain scale) day 14
13/42 (31%) with doxycycline
21/56 (38%) with azithromycin plus placebo

P = 0.52
Not significant

RCT
460 women with PID with no pelvic or tubo-ovarian abscess on pelvic ultrasonography and at laparoscopic examination, not requiring intravenous treatment Clinical cure rate (>70% reduction in tenderness score on McCormack scale, apyrexia, and WBC <10,500/mm3) 7–14 days post-treatment
163/228 (71.5%) with oral moxifloxacin for 14 days
171/232 (73.7%) with oral levofloxacin plus oral metronidazole for 14 days

P >0.05
Not significant

RCT
460 women with PID with no pelvic or tubo-ovarian abscess on pelvic ultrasonography and at laparoscopic examination, not requiring intravenous treatment Clinical cure rate (>70% reduction in tenderness score on McCormack scale, apyrexia, and WBC <10,500/mm3) 28–42 days post-treatment
166/228 (72.8%) with oral moxifloxacin for 14 days
169/232 (72.8%) with oral levofloxacin plus oral metronidazole for 14 days

Significance not assessed