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. 2019 Jun 4;2019(6):CD012902. doi: 10.1002/14651858.CD012902.pub2

Djindjian 1986.

Methods Randomisation, controlled
Method of randomisation: unclear
Kind of shunt: ventriculoperitoneal and ventriculoatrial shunts
Location: France
Follow‐up: minimally 6 months (for the most recent participants)
Duration: 27 months
Participants Inclusion: patients receiving their first implantation of shunts regardless of age
Exclusion: antibiotics in the 14 days preceding surgery and surgery for replacement of a previously implanted shunt
Treatment: 30; control: 30
Interventions Prophylactic oxacillin (200 mg/kg/day) for 24 hours perioperatively versus no antibiotics
Outcomes Proportion of participants who had CSF‐infection/meningitis (per age group). All infections occurred within 12 weeks after surgery
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) High risk Allocation concealment was not directly described, but based on the workflow of administration of antibiotics and open aspect of the trial is assumed to be at high risk for allocation bias
Blinding of participants and personnel (performance bias) 
 All outcomes High risk "Open trial"
Blinding of outcome assessment (detection bias) 
 All outcomes High risk "Open trial"
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No apparent missing outcome data
Selective reporting (reporting bias) Unclear risk No detailed documentation
Other bias Unclear risk No other forms of bias could be directly detected. However, description of methods is limited; and based on the described study design it could be that other forms of bias are present