Methods |
RCT comparing procaine penicillin and amoxycillin for radiographically confirmed pneumonia |
Participants |
Children aged 6 months to 18 years with pneumonia |
Interventions |
PO amoxycillin (50 mg/kg/day) or procaine penicillin IM (50,000 IU/kg/day) |
Outcomes |
Hospitalisation rate, failure rate, temperature more than 38.5 °C, ill appearance, increased respiratory rate |
Notes |
Unblinded
Exclusion criteria: chronic illness, asthma, sickle cell disease, cystic fibrosis, allergy to amoxycillin, or penicillin, antibiotics in past 1 week, wheezing, concurrent febrile illness |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
Sequence generation not mentioned |
Allocation concealment (selection bias) |
Low risk |
Sealed envelope opened by Emergency Department nurse |
Blinding of participants and personnel (performance bias)
All outcomes |
High risk |
Open‐label study |
Blinding of outcome assessment (detection bias)
All outcomes |
High risk |
Open‐label study |
Selective reporting (reporting bias) |
Low risk |
No selective reporting |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
Incomplete data adequately addressed |
Other bias |
Unclear risk |
Source of funding not mentioned |