Alavi 2007.
Methods | Randomized controlled trial Duration: April 2004 to January 2006 |
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Participants | Number: 105 patients enrolled Inclusion criteria: the finding of >1/80 standard tube agglutination titer (STAT) of antibodies to Brucella (Wright) with a 2 mercaptoethanol (2 ME) >1/40, in association with compatible clinical findings such as back pain, sweating and fever Exclusion criteria: age less than 15 years, pregnancy, spondylitis, endocarditis, meningoencephalitis, previous history of brucellosis, and antimicrobial therapy for more than seven days before enrolment |
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Interventions | 1‐ doxycycline (100mg twice a day), and rifampicin (300mg every 8 hour) for 8 weeks 2‐ doxycycline (100mg twice a day), and co‐trimoxazole (2 adult tablets, 960mg twice a day) for 8 weeks |
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Outcomes | 1‐relapse 2‐therapeutic failure 3‐laboratory improvement |
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Notes | Location: The private clinic and infectious disease ward of Razi hospital affiliated to Joundishapour University, Ahwaz, Iran Setting: hospitalised and ambulatory patients Source of funding: supported by Joundishapoor Infectious and Tropical Diseases Research Center |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding (performance bias and detection bias) All outcomes | High risk | Open study |
Incomplete outcome data (attrition bias) All outcomes | High risk | 52 patients were randomized to doxycycline plus rifampicin, and 53 to doxycycline plus co‐trimoxazole. At 3 month follow‐up, 51 were remained in each group.The proportion of missing outcomes compared with observed event was considerable. |
Selective reporting (reporting bias) | Low risk | Important outcomes are reported |
Other bias | Low risk |