Cochrane · systematic review · CD009576

Antibiotic therapy versus no antibiotic therapy for children aged 2 to 59 months with WHO‐defined non‐severe pneumonia and wheeze

Lassi, ZS, Padhani, ZA, Das, JK, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 75%Moderate 1 · 25%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

Antibiotic therapy versus placebo compared to placebo for children aged 2 to 59 months with WHO‐defined non‐severe pneumonia and wheeze

Population: children, aged 2 to 59 months, with WHO‐defined non‐severe pneumonia and wheeze
4 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure (symptomatic and clinical recovery by the end of treatment)
Antibiotic therapy vs placebo compared to placebo
RR 1.02 [0.96, 1.08]1 study · 456 participantsModerate
Downgraded: imprecision
Treatment failure (development of more severe signs and symptoms by the end of treatment)
Antibiotic therapy vs placebo compared to placebo
RR 0.8 [0.68, 0.94]3 studies · 3222 participantsLow
Downgraded: risk of bias, imprecision
Relapse (children who were 'cured' but developed symptoms within 14‐day
Antibiotic therapy vs placebo compared to placebo
RR 1 [0.74, 1.34]3 studies · 2795 participantsLow
Downgraded: risk of bias, imprecision
Treatment harms (adverse events or side effects associated with antibiotic therapy within 14‐day
Antibiotic therapy vs placebo compared to placebo
RR 0.81 [0.6, 1.09]3 studies · 3253 participantsLow
Downgraded: risk of bias, imprecision