Table 2.
Randomized Trials of Antibiotics in Acute Bronchitislegend
| First Author, Year (reference) | No. of Subjects | Antibiotic | Main Outcome Measure | Study Result (95% CI)∗ | Standardized Effect Size (95% CI)† |
|---|---|---|---|---|---|
| Howie, 1970 (31) | 836 | Demethyl-chlortetracycline | Average days of purulent spit | 0.3‡ | Not available‡ |
| Stott, 1976 (33) | 207 | Doxycycline | Days of yellow spit | 0.6 (−0.2 to 1.4) | 0.20 (−0.08 to 0.48) |
| Franks, 1984 (30) | 54 | Trimethoprim/sulfamethoxazole | Cough amount score | 0.2 (−0.2 to 0.6)§ | 0.25 (−0.30 to 0.79) |
| Williamson, 1984 (34) | 69 | Doxycycline | Days of purulent sputum | −0.2 (−1.2 to 0.8) | −0.09 (−0.57 to 0.38) |
| Brickfield, 1986 (28) | 50 | Erythromycin | Sputum production score | 0.2‡, ¶ | Not available‡ |
| Dunlay, 1987 (29) | 45 | Erythromycin | Sputum production score on day 10 | 0.5 (0.1 to 0.9)# | 0.80 (0.20 to 1.41) |
| Scherl, 1987 (32) | 31 | Doxycycline | Days of sputum | 1.9 (−0.2 to 4.0) | 0.64 (−0.08 to 1.36) |
| Verheij, 1994 (35) | 140 | Doxycycline | Days of productive cough | 0.5 (−0.4 to 1.4) | 0.18 (−0.15 to 0.52) |
| Hueston, 1994 (36) | 23 | Erythromycin | Days of productive cough | −0.4 (−2.4 to 1.6) | −0.21 (−1.14 to 0.72) |
| King, 1996 (37) | 91 | Erythromycin | Days of sputum production | 0.7 (−1.3 to 2.7) | 0.14 (−0.27 to 0.55) |
Result is the mean in the antibiotic group minus the mean in the placebo group for the main outcome measure. A positive result indicates a benefit from antibiotics. A negative result indicates a benefit from placebo.
Effect size is the difference between the mean outcome in the antibiotic and placebo groups divided by the pooled standard deviation.
These studies did not provide data that allowed calculation of a confidence interval or a continuous outcome measure, and therefore could not be included in the overall summary effect size.
Cough amount score was a patient-reported score on a severity scale of 1 to 3.
Sputum production score was a patient-reported score on a severity scale of 1 to 4.
Sputum production score was a patient-reported score on a severity scale of 1 to 5.
CI = confidence interval.