Watts 1989.
Methods | Randomized trial Study period: February 1980 through February 1983 |
|
Participants | Inclusion criteria: patients with early postpartum endometritis with elevated temperature (≥ 38.5 °C); abdominal pain; abdominal, uterine and adnexal tenderness and no other apparent source of fever outside of the genital tract Setting: University of Washington Hospital, Seattle, Washington, USA |
|
Interventions | Intravenous beta‐lactam (n not stated) vs clindamycin‐gentamicin (n not stated) | |
Outcomes | Presence of bacteria and site of isolation | |
Notes | This study did not address the effect of antibiotic regimen in reference to treatment failure, rather it focused on the isolated microbes as well as associated complications | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method not stated, but not likely to change microbial isolate |
Allocation concealment (selection bias) | Unclear risk | Method not stated, but not likely to change microbial isolate |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Double blinding noted, but not likely to change outcome |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No drop‐outs noted |
Selective reporting (reporting bias) | Unclear risk | Not all outcomes are prespecified in the materials and methods section, although this would not have an effect on this systematic review as the outcomes are not consistent with other studies |
Other bias | Unclear risk | Not clear |
IM: intramuscular iv: intravenous SD: standard deviation vs: versus