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. 2014 Oct 28;2014(10):CD007482. doi: 10.1002/14651858.CD007482.pub3

Huam 1997.

Methods Quasi‐RCT; 2 parallel groups.
Unit of randomization: individual.
Participants Dates of data collection: September 1994 to April 1995.
Setting: University Hospital, Kuala Lumpur, Malaysia.
Inclusion criteria: elective CS.
Exclusion criteria: allergic to penicillin, evidence of infection, premature rupture of membranes, receiving antibiotics prior to CS.
Interventions Intervention:
  • augmentin (amoxicillin‐clavulanic acid)1.2 g IV either at the time general anesthesia was induced or after epidural block;

  • N = 100.


Comparison: no treatment:
  • no treatment;

  • N = 100.

Outcomes Febrile morbidity (fever > 38°C twice at least 4 hrs apart after the 1st 24 hrs); wound sepsis (defined and graded as a) erythema and/or induration, b) serous oozing, c) presence of pus, d) wound dehiscence); UTI (routine midstream urine on 3rd post‐operative day > 100,000 organisms/mL); endometritis (fever, uterine tenderness and foul smelling lochia); pneumonia (cough, fever and/or radiographic evidence of pulmonary consolidation).
Notes Class of antibiotic: beta‐lactamase inhibitor combination.
Subgroups:
  • elective CS;

  • before cord clamping.


"Both the study groups and control group were comparable in terms of patient characteristics and operative variables."
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Quote: "Alternately allocated to either antibiotic group or control group".
Comment: quasi‐RCT.
Allocation concealment (selection bias) Unclear risk Comment: no information provided.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no loss of participants to follow‐up; no participant excluded after analysis; ITT analysis.
Selective reporting (reporting bias) Unclear risk Comment: insufficient information to judge.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: no blinding; not placebo‐controlled.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Comment: probably outcome assessment was not blinded.
Other bias Low risk Comment: no other sources of bias identified.