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. 2013 Mar 28;2013(3):CD008481. doi: 10.1002/14651858.CD008481.pub2

Roberts 2010.

Methods Randomised trial.
Participants 16 critically ill patients (mean age range 30 to 41 years; 61% male) with known or suspected sepsis and normal renal function.
Exclusion: not stated.
Interventions Piperacillin‐tazobactam 4 g/0.5 g i.v. over 20 minutes, followed by 8 g/1 g continuous infusion over 24 h (piperacillin 333 mg/h) on day 1, then 12 g/1.5 g continuous infusion over 24 h (piperacillin 500 mg/h) vs piperacillin‐tazobactam 4 g/0.5 g i.v. q6h or q8h; mean treatment duration not stated.
Outcomes Plasma‐concentration time profiles for first dose and steady state.
Probability of target attainment by MIC against bacterial pathogens commonly encountered in critical care units.
Notes Same data set as Roberts 2009c, with 3 additional patients (all met sepsis criteria). Will include only outcomes of interest for the 3 additional patients.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomly assigned "using random numbers selected from an opaque sealed envelope" (pg. 157); however, no sequence generation mentioned.
Allocation concealment (selection bias) Low risk "Random numbers selected from an opaque sealed envelope" (pg. 157).
Blinding (performance bias and detection bias) 
 All outcomes High risk Open label.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Reported mortality for all 16 randomly assigned participants (pg. 159, table 1).
Selective reporting (reporting bias) Unclear risk No clinical trial protocol cited.
Other bias Unclear risk Open‐label use of other antibiotics not stated.
All patients except 1 in the intermittent group received q6h dosing.