Cochrane · systematic review · CD009730

Intravenous antibiotics for pulmonary exacerbations in people with cystic fibrosis

Hurley, MN, Prayle, AP, Flume, P · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

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
11
current version
GRADE rated
6
No studies
5
Included studies
NR
No studies 5 · 45.5%Ungraded 0 · 0%Very low 1 · 9.1%Low 5 · 45.5%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

Single versus combination IV antibiotics for pulmonary exacerbations in people with cystic fibrosis

Population: people with cystic fibrosis experiencing a pulmonary exacerbation
4 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 (% predicted) absolute change
Single vs combination IV antibiotics
no estimate extracted6 studies · 265 participantsLow
Downgraded: risk of bias
FVC (% predicted) absolute change
Single vs combination IV antibiotics
no estimate extracted4 studies · 146 participantsLow
Downgraded: risk of bias
Time to next exacerbation (weeks)
Single vs combination IV antibiotics
no estimate extracted1 study · 34 participantsLow
Downgraded: risk of bias
Quality of life
Single vs combination IV antibiotics
no estimate extractedNRNo studies

Nebulised antibiotics compared to IV antibiotics for pulmonary exacerbations in people with cystic fibrosis

Population: people with cystic fibrosis experiencing a pulmonary exacerbation
3 questions
OutcomeEffectEvidenceStatus / GRADE
FVC (% predicted) absolute change
Nebulised antibiotics vs IV antibiotics
no estimate extracted1 study · 54 participantsVery low
Downgraded: risk of bias
Time to next exacerbation
Nebulised antibiotics vs IV antibiotics
no estimate extractedNRNo studies
Quality of life
Nebulised antibiotics vs IV antibiotics
no estimate extractedNRNo studies

Oral antibiotics compared to IV antibiotics for pulmonary exacerbations in people with cystic fibrosis

Population: people with cystic fibrosis experiencing a pulmonary exacerbation
4 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 (% predicted) absolute change
Oral antibiotics vs IV antibiotics
no estimate extracted1 study · 24 participantsLow
Downgraded: risk of bias
FVC (% predicted) absolute change
Oral antibiotics vs IV antibiotics
no estimate extracted1 study · 24 participantsLow
Downgraded: risk of bias
Time to next exacerbation
Oral antibiotics vs IV antibiotics
no estimate extractedNRNo studies
Quality of life
Oral antibiotics vs IV antibiotics
no estimate extractedNRNo studies