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. 2014 Nov 20;9(11):e113676. doi: 10.1371/journal.pone.0113676

Table 5. Antibiotic prophylaxis for the prevention of wound infections in long-bone open fractures: patients, interventions, and outcomes.

Desirable effect Undesirable effect Desirable effect
Sample Treatment Control Outcome Outcome quality Outcome Outcome quality Treatment arm % (95%-CI) Controls % (95%-CI) Difference %(95%-CI) RR (95%-CI)
Long-bone open fractures 48-hour course, dicoxacillin or penicillin - 60 patients Placebo - 30 patients Wound infection (not specifically osteomyelitis) Weak, Minor prognostic relevance Antibiotic- resistant bacteria selection, not investigated by the study Robust, Clinically relevant for the patient/crucial for the health-care organization 6.7 (2.6 to 15.9) 20 (9.5 to 37.3) –13.3 (–31.1 to 0.7) 0.33 (0.1 to 1.09)
Long-bone open fractures cloxacillin 10-day course - 43 patients Placebo - 44 patients Wound infection (not specifically osteomyelitis) Weak, Minor prognostic relevance Antibiotic- resistant bacteria selection, not investigated by the study Robust, Clinically relevant for the patient/crucial for the health-care organization 4.7 (1.3 to 15.5) 27.3 (16.3 to 41.8) –22.6 0.17 (0.04 to 0.72)