Table 1.
Previous meta-analyses regarding prophylactic antibiotics for laparoscopic cholecystectomy
Published date | Group | Analysis model | Heterogeneity | No. of postoperative infections (%) | OR (95% CI) of the overall infections | Conclusions | ||
(No. of RCTs included) | SSIs | Distant infections | Overall infections | |||||
20031 (5) | Antibiotics | Not stated | Not significant | 9/528 (1.7) | 4/528 (0.8) | — | — | Do not support the use of prophylactic antibiotics |
Control | 9/371 (2.4) | 6/371 (1.6) | — | |||||
20042 (6) | Antibiotics | Random effects | Not significant | 12/567 (2.1) | 4/567 (0.7) | 16/567 (2.8) | 0.69 (0.34 to 1.43) | No need to administer routine antibiotics |
Control | 12/407 (2.9) | 6/407 (1.5) | 18/407 (4.4) | |||||
20083 (9) | Antibiotics | Not stated | Not significant | 15/797 (1.9) | 4/499 (0.8) | 19/797 (2.4) | 0.66 (0.35 to 1.24) | Antibiotics do not prevent infections |
Control | 17/640 (2.7) | 6/297 (2.0) | 23/640 (3.6) | |||||
20094 (15) | Antibiotics | Fixed effects | Not significant | 25/1465 (1.7) | 6/613 (1.0) | 31/1465 (2.1) | 0.77 (0.47 to 1.27) | Antibiotics are unnecessary |
Control | 27/1443 (1.9) | 9/452 (2.0) | 36/1443 (2.5) | |||||
20105 (11) | Antibiotics | Fixed effects | Not significant | 24/900 (2.7) | 7/657 (1.1) | — | — | No evidence to support or refute antibiotics |
Control | 25/764 (3.3) | 10/531 (1.9) | — | |||||
20116 (12) | Antibiotics | Not stated | Not significant | 25/991 (2.5) | 11/786 (1.4) | 36/991 (3.6) | 1.11 (0.68 to 1.82) | Antibiotics are not necessary |
Control | 21/946 (2.2) | 11/736 (1.5) | 32/946 (3.4) | |||||
20167 (19) | Antibiotics | Random effects | Not significant except for overall infections | 65/2709 (2.4) | 28/1488 (1.9) | 62/1488 (4.2) | 0.64 (0.36 to 1.14) | Antibiotics should not be administered |
Control | 82/2550 (3.2) | 51/1338 (3.8) | 96/1338 (7.2) |
RCT, randomised controlled trial; SSI, surgical site infection; —, not estimated.