Cochrane · systematic review · CD001832

Third generation cephalosporins versus conventional antibiotics for treating acute bacterial meningitis

Prasad, K, Kumar, A, Singhal, T, et al. · Cochrane Database of Systematic Reviews · 2007 · Cochrane Library

Acute Respiratory InfectionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
0
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 16 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Third generation cephalosporins versus conventional therapy for acute bacterial meningitis

Population: patients treated for acute bacterial meningitis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death
Third generation cephalosporins vs conventional therapy
no estimate extracted19 studies · 1496 participantsUngraded
Deafness
Third generation cephalosporins vs conventional therapy
no estimate extracted10 studies · 501 participantsUngraded
Culture positivity 10 to 48 hours start of treatment
Third generation cephalosporins vs conventional therapy
no estimate extracted12 studies · 442 participantsUngraded
Diarrhoea
Third generation cephalosporins vs conventional therapy
no estimate extracted12 studies · 750 participantsUngraded
Neutropenia
Third generation cephalosporins vs conventional therapy
no estimate extracted10 studies · 472 participantsUngraded
Skin rash
Third generation cephalosporins vs conventional therapy
no estimate extracted8 studies · 533 participantsUngraded
Treatment failure (either death or deafness)
Third generation cephalosporins vs conventional therapy
no estimate extracted19 studies · 1496 participantsUngraded

Cephalosporins versus conventional therapy for H. influenzae meningitis

Population: patients treated for H. influenzae meningitis
1 question
OutcomeEffectEvidenceStatus / GRADE
Death
Cephalosporins vs conventional therapy
no estimate extracted10 studies · 318 participantsUngraded

Third generation cephalosporins versus conventional antibiotics for S. pneumoniae meningitis

Population: patients treated for S. pneumoniae meningitis
1 question
OutcomeEffectEvidenceStatus / GRADE
Death
Third generation cephalosporins vs conventional antibiotics
no estimate extracted11 studies · 129 participantsUngraded

Third generation cephalosporins versus conventional therapy for meningococcal meningitis

Population: patients treated for meningococcal meningitis
1 question
OutcomeEffectEvidenceStatus / GRADE
Death
Third generation cephalosporins vs conventional therapy
no estimate extracted13 studies · 477 participantsUngraded

Third generation cephalosporins versus conventional antibiotics (high and low/middle‐income countries) for acute bacterial meningitis

Population: patients treated for acute bacterial meningitis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Death
Third generation cephalosporins vs conventional antibiotics (high and low/middle‐income countries)
no estimate extracted19 studies · 1301 participantsUngraded
Death: high‐income countries
Third generation cephalosporins vs conventional antibiotics (high and low/middle‐income countries)
no estimate extracted9 studies · 510 participantsUngraded
Death: Low/middle‐income countries
Third generation cephalosporins vs conventional antibiotics (high and low/middle‐income countries)
no estimate extracted10 studies · 791 participantsUngraded
Deafness
Third generation cephalosporins vs conventional antibiotics (high and low/middle‐income countries)
no estimate extracted10 studies · 501 participantsUngraded
Deafness: high‐income countries
Third generation cephalosporins vs conventional antibiotics (high and low/middle‐income countries)
no estimate extracted6 studies · 380 participantsUngraded
Deafness: low‐income countries
Third generation cephalosporins vs conventional antibiotics (high and low/middle‐income countries)
no estimate extracted4 studies · 121 participantsUngraded