Cochrane · systematic review · CD001912

Prophylactic anti‐staphylococcal antibiotics for cystic fibrosis

Rosenfeld, M, Rayner, O, Smyth, AR · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Cystic Fibrosis and Genetic Disorders2 versionsAMSTAR 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 85.7%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

Current version only

Summary of findings ‐ Prophylactic compared with 'as required' anti‐staphylococcal antibiotics for cystic fibrosis

Population: children with cystic fibrosis
CD001912.PUB5 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 (% predicted (Knudson 1983))
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extracted1 study · 119 participantsLow
Downgraded: risk of bias, imprecision
Number of people with one or more isolates of S aureus (sensitive strains)
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
OR 0.21 [0.13, 0.35]3 studies · 315 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of people with one or more isolates of P aeruginosa
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
OR 0.74 [0.45, 1.23]3 studies · 312 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of people needing additional antibiotics
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
OR 0.18 [0.01, 3.6]1 study · 119 participantsLow
Downgraded: risk of bias
Weight (z score)
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Acquisition of multiply‐resistant S aureus
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extractedNRNo studies
Adverse events of treatment
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extracted1 study · 119 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings ‐ Prophylactic compared with 'as required' anti‐staphylococcal antibiotics for cystic fibrosis

Population: children with cystic fibrosis
CD001912.PUB4 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV₁ (% predicted (Knudson 1983))
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extracted1 study · 119 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of people with one or more isolates of S aureus (sensitive strains)
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
OR 0.21 [0.13, 0.35]3 studies · 315 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of people with one or more isolates of P aeruginosa
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
OR 0.74 [0.45, 1.23]3 studies · 312 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of people needing additional antibiotics
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
OR 0.18 [0.01, 3.6]1 study · 119 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Weight (z score)
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Acquisition of multiply‐resistant S aureus
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extractedNRNo studies
Adverse events of treatment
Summary of findings ‐ Prophylactic vs 'as required' anti‐staphylococcal antibiotics
no estimate extracted1 study · 119 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness