Norrby 1998.
Methods | Randomized Multicenter |
|
Participants | Adults (mean 65) Hospitalized Pneumonia (CAP 94%; nosocomial 6%) | |
Interventions | Atypical: IV levofloxacin 500 mg X 2/d, followed by PO levofloxacin 500 mg X 2/d Non‐atypical: IV ceftriaxone 4 G X 1/d | |
Outcomes | Cure = all infection related signs and symptoms disappeared or returned to pre‐infection state and chest X‐ray findings at least improved Failure = all infection related signs and symptoms unchanged or worsened; patients developed new clinical findings consistent with active infection; patient died due to the infection; drug study discontinued; one or more antibiotics added to drug due to treatment failure | |
Notes | CAP and nosocomial infection | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Central, computerized telephone system |
Allocation concealment (selection bias) | Low risk | Evaluator‐blinded for selected patients |
Incomplete outcome data (attrition bias) Mortality | High risk | 619/625 patients evaluated |
Incomplete outcome data (attrition bias) Failure | High risk | 619/625 patients evaluated |
Selective reporting (reporting bias) | Low risk | Not identified |
Other bias | Unclear risk | Sponsored No ITT |
Blinding of participants and personnel (performance bias) All outcomes | High risk | None |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Three types of assessments were performed according to the study protocol: protocol, conducted by computer; investigator, conducted by the investigator and evaluator‐blinded, conducted by an external evaluator for selected patients using blinded data |