Cochrane · systematic review · CD010435

Adjuvant corticosteroids for reducing death in neonatal bacterial meningitis

Ogunlesi, TA, Odigwe, CC, Oladapo, OT · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

NeonatalAMSTAR 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 1 · 25%Low 3 · 75%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

Adjunctive steroid versus placebo for reducing death in neonatal bacterial meningitis

Population: neonates with clinical and microbiological features of bacterial meningitis
4 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause death until hospital discharge
Adjunctive steroid vs placebo
RR 0.46 [0.24, 0.88]2 studies · 132 participantsVery low
Number of participants with developmental delay
Adjunctive steroid vs placebo
RR 0.77 [0.32, 1.87]1 study · 38 participantsLow
Hearing loss at 2 years of age
Adjunctive steroid vs placebo
RR 1.8 [0.18, 18.21]1 study · 38 participantsLow
Hearing loss at 4 to 10 weeks after discharge
Adjunctive steroid vs placebo
RR 0.41 [0.17, 0.98]1 study · 59 participantsLow
Downgraded: imprecision, inconsistency