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. 2018 Jul 21;2018(7):CD009650. doi: 10.1002/14651858.CD009650.pub4

Neri 2016.

Methods RCT (open‐label).
Design: parallel.
Location: multicentre (6 centres) in Italy.
Duration: 21 days treatment with follow up to 6 months.
Participants People with CF over 4 years of age with first or new MRSA infection, not infected by B cepacia complex and with no clinical signs of respiratory exacerbation and who could demonstrate regular visits to the centre.
From 2013, 61 participants randomised: 29 to treatment arm and 32 to control arm.
Mean age 19.1 (12.9) years.
Interventions Eradication protocol: an association of antibiotics according to susceptibility pattern (oral co‐trimoxazole and rifampicin for 21 days associated with intranasal mupirocin for 5 days).
Control group: observation only.
Outcomes Successful eradication or failure, where successful eradication is defined as the absence of MRSA following antibiotic treatment in at least 3 antibiograms over a period of 6 months.
Notes Awaiting data analysis and full publication.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were "randomly" assigned to active treatment arm or observation only arm. However, the procedure for randomisation is unclear from the abstract.
Allocation concealment (selection bias) Unclear risk Not discussed in abstract.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label trial.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not discussed in abstract
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Unclear from abstract data.
Selective reporting (reporting bias) Unclear risk Original protocol not published.
Other bias Unclear risk Unclear from abstract data

B cepacia: Burkholderia cepacia
 CF: cystic fibrosis
 IV: intravenous
 MRSA: meticillin‐resistant Staphyloccocus aureus
 RCT: randomised controlled trial
 TMP‐SMX: trimethoprim‐sulfamethoxazole