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. 2017 Jun 3;2017(6):CD003914. doi: 10.1002/14651858.CD003914.pub4

Summary of findings for the main comparison. Mortality with anti‐gram‐positive antibiotics compared to placebo for the treatment of febrile neutropenic patients with cancer.

Mortality with anti‐gram‐positive antibiotics compared to placebo for the treatment of febrile neutropenic patients with cancer
Patient or population: febrile neutropenic patients with cancer
 Setting: in‐hospital
 Intervention: anti‐gram‐positive antibiotics
 Comparison: placebo or added anti‐gram‐positive antibiotics
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with placebo Risk with anti gram‐positive antibiotics
Overall mortality Study population RR 0.90
 (0.64 to 1.25) 1242
 (8 RCTs) ⊕⊕⊕⊝
 MODERATE 1 2  
104 per 1,000 94 per 1,000
 (67 to 130)
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: Confidence interval; RR: Risk ratio; OR: Odds ratio;
GRADE Working Group grades of evidenceHigh quality: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
 Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1 Lack of blinding should not affect the objective outcome of mortality

2 Wide CI ranging from a large benefit of anti‐gram‐positive antibiotics to possible harm