Parry 1977.
Study characteristics | ||
Methods | Quasi‐RCT (alternate allocation). Parallel trial. Duration: 14 days. Symptomatic regimen. |
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Participants | 28 participants, but some enrolled on multiple occasions giving 42 courses/data sets. Total cohort: 21 male, 21 female, mean age 15.1 years. PsA colonised. 14 participants in each of 3 treatment groups. Group 1 (ticarcillin): 8 male, 6 female; mean (range) age 16.1 (2 ‐ 30) years. Group 2 (ticarcillin & gentamicin): 7 males, 7 females: mean (range) age 16.4 (4 ‐ 30) years. Group 3 (gentamicin): 6 males, 8 females; mean (range) 12.9 (5 ‐ 31) years. This was a control group from the same study period not part of the alternate allocation. |
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Interventions | Single group 1; ticarcillin 300 mg/kg/day, 4‐hourly. Single group 2: gentamicin 3 ‐ 4 mg/kg/day (adults), 4 ‐ 7 mg/kg/day (children). Combination group: ticarcillin 300 mg/kg/day, 4‐hourly plus gentamicin 3 ‐ 4 mg/kg/day (adults), 4 ‐ 7 mg/kg/day (children). All participants also received chest physiotherapy, bronchial drainage and aerosol therapy with mucolytics. |
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Outcomes | Lung function, bacteriology, adverse events, CBC, sedimentation rate, urinalysis, serum electrolytes, blood urea nitrogen, creatinine, liver function tests, chest radiographs, blood gas determinations, sputum cultures, change in cough, weight. | |
Notes | No data available. No withdrawals. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No discussion of how first participant was assigned to which treatment group. |
Allocation concealment (selection bias) | High risk | Alternation. |
Blinding (performance bias and detection bias) All outcomes | High risk | Drugs administered in different ways so clinicians and participants couldn't be blinded, no discussion of blinding of outcome assessors. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No drop outs or withdrawals. |
Selective reporting (reporting bias) | High risk | Paper states that "pulmonary function tests were performed when possible", but no further details or results are given. |
Other bias | Low risk | None identified. |