Skip to main content
. 2019 Sep 16;2019(9):CD013120. doi: 10.1002/14651858.CD013120.pub2

Chen 2005.

Methods Randomised clinical trial
Participants Country: China
Number randomised: 45
Post‐randomisation dropouts: 8
Revised sample size: 37
Average age: 56 years
Females: 9 (24.3%)
Presence of other features of decompensation (hepatorenal syndrome, hepatic encephalopathy, or variceal bleeding): not stated
Alcohol‐related cirrhosis: both
Viral‐related cirrhosis: both
Autoimmune disease‐related cirrhosis (e.g. PSC, PBC, AIH): not stated
Other causes for cirrhosis: both
Treated for ascites in addition to antibiotics (e.g. albumin or diuretics): not stated
Follow‐up in months: 1
Years of recruitment: 2000‐2002
Exclusion criteria
  • Allergy to penicillins, cephalosporins or aminoglycoside

  • Expected life expectancy of less than one month

  • Secondary peritonitis or tumour rupture

  • Renal impairment

  • Antibiotic treatment during previous 2 weeks

Interventions Participants were randomly assigned to two groups.
 Group 1: cefotaxime (n = 19)
 Further details: cefotaxime 1 g IV three times/day for minimum 5 day
 Group 2: amikacin (n = 18)
 Further details: amikacin with plasma level maintained at <= 30 mg/dL after a loading dose of 500 mg or 8 mg/Kg depending on weight for a total duration of minimum 5 days
Outcomes Outcomes reported
  • Mortality

  • Any adverse event (number of people)

  • Proportion with recovery from SBP

  • Other features of decompensation

  • Length of hospital stay

Notes Attempts were made to contact the authors in December 2018; there were no replies.
Reason for post‐randomisation dropouts: other causes of peritonitis, death, discharged against medical advice before starting treatment
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: this information was not available.
Allocation concealment (selection bias) Unclear risk Comment: this information was not available.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: this information was not available.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: this information was not available.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Comment: there were post‐randomisation dropouts which were related to the outcomes.
Selective reporting (reporting bias) High risk Comment: a prepublished protocol was not available but the authors do not report routinely measured clinical outcomes adequately
Other bias Low risk Comment: no other bias was noted.