Saltoglu 2010.
Methods |
Design: open label RCT, single centre Follow‐up period: 2 months |
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Participants |
N: 68 randomised Sex (%male): 47% Age (median): Intervention Group: 58.3 years; Control Group: 58.5 years Inclusion criteria: hospitalised adults (≥ 18 years), clinical diagnosis of moderate to severe diabetic lower extremity infection (Wagner scale 2‐4), caused by bacteria known or suspected to be susceptible to the antibiotics tested Exclusion criteria: antibiotic treatment in the previous 48 h; hypersensitivity to study drugs; epilepsy; psychiatric illness; pregnancy or lactation |
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Interventions |
Intervention (n = 31): piperacillin‐tazobactam 4.5 g iv every 8 h Control (n = 33): imipenem‐cilastatin 500 mg iv every 6 h Treatment duration: 14 days (28 days if osteomyelitis present) |
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Outcomes |
Primary outcome
Secondary outcomes
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Notes |
Funding source: The study reported that it was not funded by any pharmaceutical company or other source Other: the trial was not registered, no sample size calculation performed |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Random‐number table prepared by the university statistics department |
Allocation concealment (selection bias) | Low risk | Independent randomisation. Phone call to randomise |
Incomplete outcome data (attrition bias) All outcomes | Low risk | There were only 2 participants (one in each group) excluded as a result of an allergic reaction. No ITT analysis |
Selective reporting (reporting bias) | Low risk | The outcomes defined in the methods section were the same as those reported in the results section. The study was not registered |
Other bias | Unclear risk | N/A |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Open‐label study |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No data provided |