Table 2.
Primary and secondary treatment outcomes (per-protocol population)*
Procaine benzylpenicillin and gentamicin (n=747) | Amoxicillin and gentamicin (n=751) | Procaine benzylpenicillin, gentamicin, and amoxicillin (n=753) | Risk difference†(95% CI) | Risk difference‡(95% CI) | ||
---|---|---|---|---|---|---|
Primary outcome | ||||||
Treatment failure within 7 days of enrolment | 90 (12%) | 76 (10%) | 99 (13%) | −1·9 (−5·1 to 1·3) | 1·1 (−2·3 to 4·5) | |
Initial reason for treatment failure | ||||||
Death | 6 | 4 | 6 | .. | .. | |
Admission | 17 | 13 | 21 | .. | .. | |
Clinical deterioration | 14 | 12 | 17 | .. | .. | |
New sign on or after day 3 | 8 | 11 | 3 | .. | .. | |
Persistence of signs at day 4 | 22 | 12 | 28 | .. | .. | |
Recurrence of signs on or after day 5 | 13 | 15 | 16 | .. | .. | |
Persistence of signs at day 8 | 0 | 0 | 0 | .. | .. | |
Serious adverse event | 1 | 1 | 0 | .. | .. | |
Antibiotic change because of infectious comorbidity | 9 | 8 | 8 | .. | .. | |
Secondary outcomes | ||||||
Admission within 7 days of enrolment | 26 (3%) | 20 (3%) | 30 (4%) | −0·8 (−2·6 to 0·9) | 0·5 (−1·4 to 2·4) | |
Died within 7 days of enrolment | 11 (1%) | 7 (1%) | 10 (1%) | −0·5 (−1·6 to 0·6) | −0·1 (−1·3 to 1·0) | |
Died at any time before day 15 visit | 13 (2%) | 9 (1%) | 12 (2%) | −0·5 (−1·8 to 0·7) | −0·1 (−1·4 to 1·1) | |
Not classified as treatment failure with follow-up on day 11 or day 15 | 642 (86%) | 661 (88%) | 643 (85%) | .. | .. | |
Admission at any time between day 8 and day 15 visits§ | 6 (1%) | 2 (<1%) | 1 (<1%) | .. | .. | |
Died any time between day 8 and day 15 visits§ | 0 | 1 (<1%) | 2 (<1%) | .. | .. | |
Non-fatal relapse at any time between day 8 and day 15 visits§ | 20 (3%) | 9 (1%) | 6 (1%) | −1·8 (−3·4 to −0·1) | −2·2 (−3·7 to −0·6) |
Data are number of children (%), unless otherwise stated.
Secondary outcomes for all randomly allocated infants are presented in the appendix (p 4).
Difference between amoxicillin and gentamicin, and procaine benzylpenicillin and gentamicin.
Difference between procaine benzylpenicillin, gentamicin, and amoxicillin, and procaine benzylpenicillin and gentamicin.
Denominator was children not classified as treatment failures with follow-up to day 11 or day 15.