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. 2019 Sep 16;2019(9):CD013120. doi: 10.1002/14651858.CD013120.pub2

Tuncer 2003.

Methods Randomised clinical trial
Participants Country: Turkey
Number randomised: 53
Post‐randomisation dropouts: 0
Revised sample size: 53
Average age: 46 years
Females: 19 (35.8%)
Presence of other features of decompensation (hepatorenal syndrome, hepatic encephalopathy, or variceal bleeding): both
Alcohol‐related cirrhosis: not stated
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: 0.25
Years of recruitment: not stated
Exclusion criteria
  • Hypersensitivity to quinolones or cephalosporins

  • Recent antibiotic use

  • Systemic infections

  • Secondary peritonitis

Interventions Participants were randomly assigned to three groups.
 Group 1: cirpofloxacin (n = 16)
 Further details: ciprofloxacin 500 mg oral twice/day for 5 days
 Group 2: cefotaxime (n = 18)
 Further details: cefotaxime 2 g IV three times/day for 5 days
Group 3: ceftriaxone (n = 19)
Further details: ceftriaxone 2 g/day IV for 5 days
Outcomes Outcome reported
  • Mortality

  • Any adverse events ( number of people)

  • Proportion with recovery from SBP

  • Other features of decompensation

  • Treatment costs

Notes Attempts were made to contact the authors in December 2018; there were no replies.
Follow‐up information was not available but the follow‐up was probably until the end of hospitalisation. Although the authors excluded 3 patients from the analysis, these have been included for all outcomes other than complications and decompensated cirrhosis.
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 Low risk Comment: all patients were included in the analysis of mortality and SBP resolution. There were post‐randomisation dropouts related to the treatment and outcome for remaining outcomes; therefore risk of bias is high for these outcomes.
Selective reporting (reporting bias) Low risk Comment: a prepublished protocol was not available but the authors report routinely measured clinical outcomes adequately.
Other bias Low risk Comment: no other bias was noted.