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. 2021 Jun 23;2021(6):CD002007. doi: 10.1002/14651858.CD002007.pub5

Parry 1977.

Study characteristics
Methods Quasi‐RCT (alternate allocation).
Parallel trial.
Duration: 14 days.
Symptomatic regimen.
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.
 
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.
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.
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.