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

Karp 1986.

Methods Randomised controlled trial, double‐blind
Participants Patients with neutropenia
 < 500/mm3 and fever > 38.3. Mean age 40 (19‐63) with acute leukaemia or post autologous bone marrow rescue transplantation
Interventions Vancomycin 500 mg x 4 added to one arm
 Non‐intervention antibiotics: ticarcillin + gentamicin
Outcomes Failure
 Superinfections
 Adverse events
Notes Empirical design
 Single centre, USA
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation by table of random numbers
Allocation concealment (selection bias) Low risk Randomisation concealed centrally within the oncology pharmacy
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk  
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk  
Incomplete outcome data (attrition bias) 
 All outcomes High risk  
Other bias Low risk Patients included only once