Parizkova 2000.
Methods |
Monocentre, randomized, parallel‐group study Duration of the study: 1997 to 1998 Number excluded /number randomized: 0/38 (0%) Sample size calculation/method description: No/No |
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Participants |
Patients randomized: 38 Age (mean): 46 years (treatment group), 43 years (no intervention group) Sex: not reported Inclusion criteria: admitted to ICU < five days, receipt of antibiotics > 24 hours, mechanical ventilation > 48 hours Exclusion criteria: immunocompromised patients, autoimmune disease, cancer patients with metastasis, mycotic infection, patients treated with antifungal drugs Percentage post‐surgical: > 37% Percentage colonized with Candida at baseline: not stated |
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Interventions |
1. Fluconazole 100 mg/day IV (n = 18)
2. No intervention (n = 20) Duration of the intervention: throughout the ICU stay |
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Outcomes | Mortality
Proven IFI
Proven IFI with azole‐resistant Candida species
Fungal colonization
Fungal colonization with azole‐resistant Candida species Follow‐up duration: not stated |
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Type of antifungal treatment | Prophylaxis | |
Funding sources | Not reported | |
Declaration of interest among the primary researchers | Not reported | |
Notes | Country: Czech Republic Setting: single centre, adult ICU | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Comment: insufficient information to make a judgement |
Allocation concealment (selection bias) | Unclear risk | Comment: insufficient information to make a judgement |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Comment: insufficient information to make a judgement |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Comment: insufficient information about blinding of outcome assessment |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: no missing outcome data |
Selective reporting (reporting bias) | Low risk | Comment: the study protocol was not available but it was clear that the published reports included all expected outcomes |
Other bias | Low risk | Comment: no apparent risk for other bias |