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. 2017 Jun 19;2017(6):CD000245. doi: 10.1002/14651858.CD000245.pub4

Williamson 1984.

Methods Double‐blinded RCT
Participants 74 adults (age 21 to 65 years) with cough and sputum, and concurrent upper respiratory tract infection, rhonchi, or history of fever; excluded if temperature more than 39.5° C, signs or symptoms of sinus infection, or chest radiograph with consolidation (but not ordered on all). Dropouts = 5/74
Interventions Doxycycline (100 mg twice daily on day 1, then 100 mg 4 times a day on days 2 to 7) versus identical‐looking placebo. Kept daily symptom log, returned for follow‐up visit on day 7 to 10. If not improved at follow‐up, could obtain antibiotic prescription.
Outcomes General well‐being, bother of cough, night cough, activity limitation, feverishness, sputum colour daily, doses of antitussives, and clinical impression at follow‐up
Notes No mention of eligible patients who refused to volunteer
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk  
Allocation concealment (selection bias) Low risk  
Blinding (performance bias and detection bias) 
 All outcomes Low risk  
Blinding (performance bias and detection bias) Low risk  
Incomplete outcome data (attrition bias) 
 All outcomes Low risk  
Selective reporting (reporting bias) Unclear risk Not reported
Other bias Unclear risk Not reported

FEV1: forced expiratory volume in one second
 LRTI: lower respiratory tract infection
 RCT: randomised controlled trial