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. 2016 Sep 29;16:189. doi: 10.1186/s12883-016-0708-y

Table 4.

GRADE evidence table for the comparison combination of antibiotics vs. single drugs for children with Lyme neuroborreliosis

Quality assessment № of patients Effect Quality
№ of studies Study design Risk of bias Inconsistency Indirectness Imprecision Combination of antibiotics Single drugs Relative (95 % CI)
Neurological symptoms at last reported time point
1 observational studies very seriousa not serious seriousb seriousc 1/7 (14.3 %) 2/2 (100.0 %) RR 4.44 (0.96 to 20.50) ⨁◯◯◯ VERY LOW

acritical risk of bias according to ARCOBAT NRSI due to baseline confounding, selected patients, lack of blinding, interventions insufficiently described

bheterogeneous interventions applied

csmall sample size, optimal information size not met