Table 5.
Effect of antibiotic prescribing strategy subgroup variable interactions on mean symptom severity score two to four days after consultation for delayed versus no antibiotics, and delayed versus immediate antibiotics
Subgroup | No of studies | No of participants | Interaction (95% CI) | P | Adjusted* mean difference (95% CI) |
---|---|---|---|---|---|
Delayed v no antibiotics | |||||
Previous duration | |||||
Median and above | 6 | 1835 | 0.05 (−0.23 to 0.34) | 0.70 | 0.008 (−0.21 to 0.23) |
Below median | 1589 | 0.03 (−0.22 to 0.28) | |||
Age (years) | |||||
0-4 | 9 | 749 | 0.11 (−0.02 to 0.24) | 0.11 | −0.20 (−0.24 to −0.15) |
5-15 | 637 | 0.12 (0.07 to 0.16) | |||
16-64 | 2153 | −0.03 (−0.14 to 0.08) | |||
>65 | 368 | 0.07 (−0.36 to 0.51) | |||
Fever | |||||
≥37.5ºC | 8 | 1436 | 0.01 (−0.16 to 0.18) | 0.88 | −0.03 (−0.15 to 0.09) |
<37.5ºC | 2211 | −0.02 (−0.19 to 0.16) | |||
Comorbidity | |||||
Any lung disease | 9 | 438 | 0.14 (−0.05 to 0.34) | 0.15 | 0.15 (−0.12 to 0.42) |
No lung disease | 2598 | −0.01 (−0.15 to 0.13) | |||
Baseline severity | |||||
Median and above | 9 | 1972 | −0.05 (−0.28 to 0.19) | 0.69 | −0.09 (−0.31 to 0.13) |
Below median | 1935 | −0.14 (−0.33 to 0.04) | |||
Delayed v immediate antibiotics | |||||
Previous duration | |||||
Median and above | 6 | 1516 | −0.07 (−0.41 to 0.27) | 0.68 | −0.04 (−0.38 to 0.29) |
Below median | 1526 | 0.02 (−0.17 to 0.21) | |||
Age (years) | |||||
0-4 | 9 | 729 | −0.10 (−0.17 to −0.03) | 0.005† | 0.10 (0.03 to 0.18) |
5-15 | 548 | 0.09 (−0.11 to 0.30) | |||
16-64 | 2107 | −0.09 (−0.27 to 0.09) | |||
>65 | 366 | −0.19 (−0.62 to 0.25) | |||
Fever | |||||
≥37.5ºC | 8 | 1765 | −0.05 (−0.32 to 0.23) | 0.80 | −0.01 (−0.42 to 0.40) |
<37.5ºC | 1662 | 0.03 (−0.06 to 0.11) | |||
Comorbidity | |||||
Any lung disease | 9 | 483 | 0.01 (−0.16 to 0.19) | 0.87 | 0.13 (−0.27 to 0.53) |
No lung disease | 2554 | 0.12 (−0.14 to 0.38) | |||
Baseline severity | |||||
Median and above | 9 | 2286 | 0.35 (−0.23 to 0.93) | 0.24 | 0.10 (−0.57 to 0.77) |
Below median | 1466 | −0.27 (−0.34 to −0.19) |
Adjusted for baseline severity, age, and condition.
Statistically significant interaction term.