Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,163 questions · 1,209 findings · 133 reviews · Headline outcomes only

No studies found 176 · 14.6%GRADE not reported 47 · 3.9%Very low 241 · 19.9%Low 323 · 26.7%Moderate 315 · 26.1%High 107 · 8.9%

Intervention not reported

Adverse events ‐ recurrent fever · acute bacterial meningitis

The intervention probably leads to higher adverse events ‐ recurrent fever (moderate certainty).

1 finding from 1 review

Intervention not reported

Seizure frequency: Two out of five children had some improvement in seizure frequency. One child has unchanged seizure frequency and one child withdrew from the study and other had Infantile spasm. · children with intractable seizures
1 finding from 1 review

Adjunctive steroid vs placebo

Hearing loss · neonates with clinical and microbiological features of bacterial meningitis

Adjunctive steroid showed no clear difference in hearing loss at 2 years of age compared with placebo (low certainty).

2 findings from 1 review