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. 2014 Sep 4;2014(9):CD000239. doi: 10.1002/14651858.CD000239.pub2

Comparison 1. Fluconazole versus amphotericin B.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Death 15 3151 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.73, 1.05]
1.1 I.v. or oral fluconazole vs i.v. amphotericin B 10 1586 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.67, 1.05]
1.2 Oral fluconazole vs oral amphotericin B 4 1063 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.69, 1.42]
1.3 Oral fluconazole vs oral "polyenes" 1 502 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.43, 1.59]
2 Death ascribed to fungal infection 10 2279 Odds Ratio (M‐H, Fixed, 95% CI) 0.95 [0.57, 1.58]
2.1 I.v. or oral fluconazole vs i.v. amphotericin B 7 1324 Odds Ratio (M‐H, Fixed, 95% CI) 1.04 [0.58, 1.87]
2.2 Oral fluconazole vs oral amphotericin B 3 955 Odds Ratio (M‐H, Fixed, 95% CI) 0.72 [0.26, 2.01]
3 Invasive infections 15 3587 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.72, 1.21]
3.1 I.v. or oral fluconazole vs i.v. amphotericin B 9 1486 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.66, 1.18]
3.2 Oral fluconazole vs oral amphotericin B 4 1063 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.52, 1.99]
3.3 Oral fluconazole vs oral "polyenes" 2 1038 Risk Ratio (M‐H, Fixed, 95% CI) 1.41 [0.45, 4.40]
4 Colonisation 4 1132 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.59, 1.47]
4.1 I.v. or oral fluconazole vs i.v. amphotericin B 2 204 Risk Ratio (M‐H, Fixed, 95% CI) 1.41 [0.76, 2.62]
4.2 Oral fluconazole vs oral amphotericin B 2 928 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.28, 1.18]
5 Use of rescue drug 9 2616 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.80, 1.41]
5.1 I.v. or oral fluconazole vs i.v. amphotericin B 6 1201 Risk Ratio (M‐H, Random, 95% CI) 1.34 [0.76, 2.37]
5.2 Oral fluconazole vs oral amphotericin B 2 879 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.62, 1.06]
5.3 Oral fluconazole vs oral "polyenes" 1 536 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.76, 1.43]
6 Dropouts 8 1122 Risk Ratio (M‐H, Random, 95% CI) 0.76 [0.44, 1.29]
6.1 I.v. or oral fluconazole vs i.v. amphotericin B 4 631 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.69, 1.30]
6.2 Oral fluconazole vs oral amphotericin B 3 243 Risk Ratio (M‐H, Random, 95% CI) 0.30 [0.12, 0.74]
6.3 Oral fluconazole vs oral "polyenes" 1 248 Risk Ratio (M‐H, Random, 95% CI) 2.71 [1.01, 7.30]
7 Dropouts because of adverse effects 14 3489 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.14, 0.78]
7.1 I.v. or oral fluconazole vs i.v. amphotericin B 8 1388 Risk Ratio (M‐H, Random, 95% CI) 0.23 [0.10, 0.55]
7.2 Oral fluconazole vs oral amphotericin B 4 1063 Risk Ratio (M‐H, Random, 95% CI) 0.14 [0.03, 0.60]
7.3 Oral fluconazole vs oral "polyenes" 2 1038 Risk Ratio (M‐H, Random, 95% CI) 1.76 [0.51, 6.04]