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. 2015 Sep 4;2015(9):CD009061. doi: 10.1002/14651858.CD009061.pub2

Saltoglu 2010.

Methods Design: open label RCT, single centre
Follow‐up period: 2 months
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
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)
Outcomes Primary outcome
  • Clinical response (cure/response)


Secondary outcomes
  • Relapse rate

  • Microbiological response

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
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