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. 2020 Jan 16;2020(1):CD013125. doi: 10.1002/14651858.CD013125.pub2

Ginés 1990.

Methods Randomised clinical trial
Participants Country: Spain
Period of recruitment: 1987–1989
Number randomised: 80
Postrandomisation dropouts: not stated
Revised sample size: 80
Mean age (years): 58
Females: 26 (32.5%)
Presence of other features of decompensation (hepatorenal syndrome, hepatic encephalopathy, or variceal bleeding): not stated
Ascites with low protein: not stated
Primary prophylaxis: 0 (0%)
Alcohol‐related cirrhosis: 46 (57.5%)
Viral‐related cirrhosis: not stated
Autoimmune disease‐related cirrhosis (e.g. PSC, PBC, AIH): not stated
Other causes for cirrhosis: 34 (42.5%)
Treated for ascites in addition to antibiotics (e.g. albumin or diuretics): not stated
Interventions Participants randomly assigned to 2 groups.
Group 1: norfloxacin (n = 40)
Further details: norfloxacin 400 mg daily (duration not stated, but probably to end of follow‐up)
Group 2: no active intervention (n = 40)
Further details: placebo
Outcomes Outcomes reported: all‐cause mortality; number of any adverse events per participant; proportion with spontaneous bacterial peritonitis (as per definition); number of other decompensation events.
Follow‐up (months): 6
Notes Attempted to contact authors in November 2018, but received no replies.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: information not available
Allocation concealment (selection bias) Unclear risk Comment: information not available
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "Double‐blind, multicenter, placebo‐controlled study… Each patient's assigned drug was known only by the pharmacy."
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "Double‐blind, multicenter, placebo‐controlled study… Each patient's assigned drug was known only by the pharmacy."
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: information not available
Selective reporting (reporting bias) Low risk Comment: protocol not available, but authors reported mortality and adverse events adequately.
Other bias Low risk Comment: no other bias noted