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. 2021 Apr 28;373:n808. doi: 10.1136/bmj.n808

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.