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. 2021 Mar 17;2021(3):CD004406. doi: 10.1002/14651858.CD004406.pub5

Jackson 1973.

Study characteristics
Methods RCT
Double‐blinded
Participants Number of participants randomised: 314 (95 negative culture excluded from analysis)
Number of participants evaluated: 207 (70%)
Number of dropouts: 12 reported
Setting: not described
Age: not described
Diagnosis: throat culture
Inclusion criteria: child in weight range 11.4 to 45.4 kg, pharyngitis, positive culture or white blood count > 10,000
Exclusion criteria: allergy to penicillin or lincomycin, received any antibiotics within previous 6 weeks
Interventions Groups: clindamycin daily dose 150 to 450 mg (n = 156); ampicillin daily dose 750 to 2000 mg (n = 158)
Duration of treatment: 10 days
Duration of follow‐up: 26 to 28 days post‐therapy
Outcomes Adverse effects
Bacteriological outcomes
Notes Funding: Upjohn Company
Ethics approval: not mentioned
ITT for adverse events
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Reported as "randomised", but no description of randomisation sequence
Allocation concealment (selection bias) Low risk "Labels for each group were randomised, sealed in sequentially numbered envelopes,..."
Blinding (performance bias and detection bias)
All outcomes Low risk See above.
Incomplete outcome data (attrition bias)
All outcomes High risk 95 negative cultures excluded after randomisation; 12 positive cultures excluded due to failure to return first follow‐up culture (clindamycin 7 and ampicillin 5).
30% postrandomisation dropout
Selective reporting (reporting bias) Unclear risk Only clinical outcome for poststreptococcal sequelae
ITT for adverse events
Other bias High risk Funding: Upjohn Company