Lipman 1999.
Methods | Randomised trial. | |
Participants | 18 critical care patients (mean age range 53 to 64 years; proportion of males/females not stated) with normal renal function requiring ceftazidime according to usual clinical practice (pg. 309). Exclusion: not explicitly stated. |
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Interventions | Ceftazidime 12 mg/kg i.v. loading dose infused over 2 minutes, followed by 2 g infused over 478 minutes, then 2 g infusion q8h versus ceftazidime 12 mg/kg i.v. loading dose infused over 2 minutes, followed by 2 g infused over 28 minutes, then 2 g over 30 minutes q8h; treatment duration not stated. | |
Outcomes | Total time plasma ceftazidime concentrations below 40 mg/L. | |
Notes | Pharmacokinetic trial, no clinical outcomes reported. Not included in meta‐analysis because number of patients randomly assigned into each group not reported. Did not report any outcomes of interest except "no ceftazidime‐related adverse reactions were noted" (pg. 310). |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomly assigned with “computer‐generated random numbers” (pg. 309). |
Allocation concealment (selection bias) | Unclear risk | Not stated. |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not stated. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not stated. |
Selective reporting (reporting bias) | Unclear risk | Outcomes not specified a priori reported (range of plasma ceftazidime concentrations achieved, number of patients with plasma ceftazidime concentrations > 40 mg/L). |
Other bias | Unclear risk | Baseline imbalances, members of infusion group were older (mean age 64 years vs 53 years) and had higher APACHE II scores (20.5 vs 15.5) (pg. 310). Funding source not stated. |