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. 2010 Sep 8;2010(9):CD002907. doi: 10.1002/14651858.CD002907.pub2

Fernandez 2006.

Methods Data collection 02/2000 to 04/2004. 
 Exclusion from analysis: occult infection (positive blood cultures obtained prior to randomisation) and less than two signs of liver failure (Norfloxacin group 6/63; Ceftriaxone group 7/61). 
 Follow‐up period: 10 days.
Participants Spain
Multicenter trial on hospitalised patients in patients with cirrhosis and upper gastrointestinal haemorrhage.
Etiology of bleeding: portal hypertension related in 77% of participants.
Initial infection assessment: blood cultures, ascitic fluid polymorphonuclear count, urine sediment and culture, chest X‐ray.
Emergency endoscopy within 24 h after onset of the haemorrhage, plus somatostatin or terlipressin on portal hypertension related haemorrhage.
Sclerotherapy or banding was performed to stop bleeding.
Chil‐Pugh class A/B/C: 0/52/59.
Interventions Experimental: intravenous ceftriaxone 1g per day for 7 days.
Control: oral norfloxacin 400 mg b.i.d. for 7 days.
Outcomes Prevention of bacterial infections.
Notes The authors were contacted via e‐mail and response was received (28‐June‐2010).
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk The sequence was generated using a random number software.
Allocation concealment? Unclear risk No information provided.
Blinding? 
 All outcomes High risk Not a blinded trial.
Incomplete outcome data addressed? 
 All outcomes Low risk Missing data are balanced in number across the intervention groups.
Free of selective reporting? Low risk The report include all the expected outcomes.
Free of other bias? Low risk The trial appears to be free of other sources of bias.
Intention to treat analysis? High risk The excluded participants are balanced and with a justifiable reason.
Sample calculation? Low risk The sample was calculated considering the expected incidence of proved and possible infections.