1 All‐cause mortality |
19 |
3335 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.81 [0.59, 1.13] |
1.1 cefepime |
10 |
1146 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.66 [0.43, 1.01] |
1.2 carbapenem |
8 |
2028 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.10 [0.65, 1.86] |
1.3 piperacillin‐tazobactam |
1 |
161 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.18 [0.07, 18.47] |
2 Infection related mortality |
17 |
3476 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.95 [0.62, 1.46] |
2.1 cefepime |
7 |
951 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.91 [0.48, 1.73] |
2.2 carbapenem |
8 |
2025 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.05 [0.54, 2.04] |
2.3 piperacillin |
1 |
339 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.73 [0.20, 2.68] |
2.4 piperacillin‐tazobactam |
1 |
161 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.18 [0.07, 18.47] |
3 Clinical failure |
21 |
4204 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.04 [0.98, 1.10] |
3.1 cefepime |
9 |
1087 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.00 [0.92, 1.09] |
3.2 carbapenem |
9 |
2340 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.16 [1.07, 1.26] |
3.3 ticarcillin‐clavulanate |
1 |
312 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.79 [0.53, 1.17] |
3.4 piperacillin |
1 |
304 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.54 [0.38, 0.78] |
3.5 piperacillin‐tazobactam |
1 |
161 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.95 [0.68, 1.33] |
4 Clinical failure ‐ sensitivity analysis allocation concealment |
21 |
4204 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.04 [0.98, 1.10] |
4.1 adequate |
10 |
1743 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.01 [0.93, 1.10] |
4.2 unclear |
11 |
2461 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.06 [0.98, 1.15] |
5 Clinical failure ‐ sensitivity analysis allocation generation |
21 |
4204 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.04 [0.98, 1.10] |
5.1 adequate |
14 |
2837 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.01 [0.93, 1.09] |
5.2 unclear |
6 |
1327 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.09 [1.00, 1.19] |
5.3 inadequate |
1 |
40 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.13 [0.55, 2.32] |
6 Microbiological failure |
18 |
1166 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.94 [0.85, 1.04] |
6.1 cefepime |
7 |
225 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.07 [0.86, 1.34] |
6.2 carbapenem |
8 |
633 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.02 [0.91, 1.15] |
6.3 ticarcillin‐clavulanate |
1 |
104 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.51 [0.22, 1.22] |
6.4 piperacillin |
1 |
110 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.25 [0.10, 0.59] |
6.5 piperacillin‐tazobactam |
1 |
94 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.83 [0.54, 1.28] |
7 Any modifications |
15 |
2527 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.10 [1.02, 1.18] |
7.1 cefepime |
7 |
712 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.00 [0.86, 1.15] |
7.2 carbapenem |
7 |
1654 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.16 [1.07, 1.26] |
7.3 piperacillin‐tazobactam |
1 |
161 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.95 [0.68, 1.33] |
8 Glycopeptide addition |
12 |
2221 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.21 [1.05, 1.41] |
8.1 cefepime |
5 |
631 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.01 [0.77, 1.33] |
8.2 carbapenem |
6 |
1429 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.43 [1.17, 1.76] |
8.3 piperacillin‐tazobactam |
1 |
161 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.95 [0.68, 1.33] |
9 Antifungal drug addition |
10 |
2012 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.91 [0.73, 1.14] |
9.1 cefepime |
4 |
527 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.90 [0.61, 1.32] |
9.2 carbapenem |
6 |
1485 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.92 [0.70, 1.21] |
10 Superinfection ‐ any |
12 |
2783 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.20 [0.95, 1.52] |
10.1 cefepime |
5 |
568 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.14 [0.68, 1.93] |
10.2 carbapenem |
5 |
1578 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.21 [0.91, 1.60] |
10.3 ticarcillin‐clavulanate |
1 |
312 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.85 [0.27, 2.70] |
10.4 piperacillin |
1 |
325 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.67 [0.64, 4.35] |
11 Superinfection ‐ bacterial |
4 |
987 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.58 [0.26, 1.31] |
11.1 cefepime |
2 |
284 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.53 [0.14, 2.04] |
11.2 carbapenem |
1 |
378 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.54 [0.10, 2.90] |
11.3 piperacillin |
1 |
325 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.67 [0.18, 2.45] |
12 Adverse events ‐ any |
11 |
|
Risk Ratio (M‐H, Fixed, 95% CI) |
Subtotals only |
12.1 cefepime |
6 |
745 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.04 [0.94, 1.15] |
12.2 carbapenem |
3 |
1118 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.43 [0.31, 0.60] |
12.3 ticarcillin‐clavulanate |
1 |
312 |
Risk Ratio (M‐H, Fixed, 95% CI) |
1.49 [0.57, 3.89] |
12.4 piperacillin |
1 |
339 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.30 [0.15, 0.58] |
13 Adverse events requiring discontinuation |
14 |
2384 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.69 [0.47, 1.03] |
13.1 cefepime |
8 |
1062 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.65 [0.39, 1.09] |
13.2 carbapenem |
6 |
1322 |
Risk Ratio (M‐H, Fixed, 95% CI) |
0.76 [0.41, 1.41] |