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. 2018 Mar 16;8(3):e016666. doi: 10.1136/bmjopen-2017-016666

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.