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

Comparison 2. Treatment failure.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Overall failure (disregarding modifications) 7 943 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.79, 1.27]
1.1 Glycopeptide empirical 3 293 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.28, 4.20]
1.2 Glycopeptide first modification 1 165 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.18, 2.09]
1.3 Other antiGP empirical 3 485 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.81, 1.32]
2 Failure, modifications included 11 2169 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.65, 0.79]
2.1 Glycopeptide empirical 5 1178 Risk Ratio (M‐H, Fixed, 95% CI) 0.70 [0.61, 0.80]
2.2 Glycopeptide first modification 2 279 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.79, 1.22]
2.3 Other antiGP empirical 4 712 Risk Ratio (M‐H, Fixed, 95% CI) 0.62 [0.51, 0.77]
3 Failure, modifications included (adequate allocation concealment) 7 1101 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.68, 0.89]
3.1 Glycopeptide empirical 2 230 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.59, 1.08]
3.2 Glycopeptide first modification 2 279 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.79, 1.22]
3.3 Other antiGP empirical 3 592 Risk Ratio (M‐H, Fixed, 95% CI) 0.66 [0.53, 0.81]
4 Failure, modifications included (intention to treat) 7 1068 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.69, 0.90]
4.1 Glycopeptide empirical 2 186 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.61, 1.08]
4.2 Glycopeptide first modification 2 290 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.81, 1.23]
4.3 Other antiGP empirical 3 592 Risk Ratio (M‐H, Fixed, 95% CI) 0.66 [0.53, 0.81]
5 Failure, modifications included (antiGP not covering Gram‐negatives) 9 1659 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.69, 0.87]
5.1 Glycopeptide empirical 5 1178 Risk Ratio (M‐H, Fixed, 95% CI) 0.70 [0.61, 0.80]
5.2 Glycopeptide first modification 2 279 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.79, 1.22]
5.3 Other antiGP empirical 2 202 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.62, 1.67]
6 Failure in Gram‐positive infections 5 175 Risk Ratio (M‐H, Fixed, 95% CI) 0.56 [0.38, 0.84]
7 Febrile at 72 hrs. on empirical Tx 3 312 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.44, 1.17]
7.1 Glycopeptide empirical 3 312 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.44, 1.17]
8 Addition of amphotericin 5 1201 Risk Ratio (M‐H, Random, 95% CI) 1.23 [0.84, 1.80]
8.1 Non‐blinded 3 976 Risk Ratio (M‐H, Random, 95% CI) 1.51 [0.80, 2.83]
8.2 Double blind 2 225 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.75, 1.33]