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

Romanelli 2002.

Methods Randomized 
 Multicenter
Participants Elderly > 70 (mean age: 76) 
 CAP 
 Hospitalized
Interventions Atypical: IV clarythromycin 500 mg + IV ceftriaxone 1 G X 2/d 
 IV clarythromycin 500 mg + IV amikacin 250 mg X 2/d 
 versus 
 Non‐atypical: IV meropenem 500 mg X 3/d 
 IV imipenem/cilastatin 500 mg X 3/d
Outcomes Clinical response 
 Failure = no improvement or deterioration of signs and symptoms OR relapse
Notes Elderly
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Incomplete outcome data (attrition bias) 
 Mortality High risk 204/226 patients evaluated
Incomplete outcome data (attrition bias) 
 Failure High risk 204/226 patients evaluated
Selective reporting (reporting bias) Low risk Not identified
Other bias Unclear risk Sponsored
Blinding of participants and personnel (performance bias) 
 All outcomes High risk None
Blinding of outcome assessment (detection bias) 
 All outcomes High risk None