Skip to main content
. 2013 Jun 4;2013(6):CD004874. doi: 10.1002/14651858.CD004874.pub4

Tsarouhas 1998.

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