Cochrane · systematic review · CD003295

Prophylactic antibiotics for preventing gram‐positive infections associated with long‐term central venous catheters in adults and children receiving treatment for cancer

van den Bosch, CH, van Woensel, J, van de Wetering, MD · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer2 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 33.3%Moderate 2 · 66.7%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

Show all 2 versions

Summary of findings table

Population: adults and children diagnosed with an oncologic disease with a newly‐inserted long‐term CVC who were at risk of neutropenia due to chemotherapy or disease
3 questions
OutcomeEffectEvidenceStatus / GRADE
Antibiotics prior to long‐term CVC insertion versus control: catheter‐related infections
Risk ratio 0.67 [0.32, 1.43]5 studies · 648 participantsModerate
Downgraded: inconsistency
Antibiotic versus heparin only lock/flush solution: catheter‐related infections
Rate ratio 0.47 [0.26, 0.85]5 studies · 443 participantsModerate
Downgraded: imprecision, inconsistency
Antibiotic versus heparin only lock/flush solution: adverse events
no estimate extracted3 studies · 300 participantsLow
Downgraded: imprecision, inconsistency