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. 2012 Sep 12;2012(9):CD004418. doi: 10.1002/14651858.CD004418.pub4

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