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 |