Cochrane · systematic review · CD010485

Interventions for treating genital Chlamydia trachomatis infection in pregnancy

Cluver, C, Novikova, N, Eriksson, DOA, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 25%Low 2 · 25%Moderate 3 · 37.5%High 1 · 12.5%

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

Erythromycin compared to placebo for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Erythromycin vs placebo
RR 2.64 [1.6, 4.38]2 studies · 495 participantsModerate
Downgraded: inconsistency

Clindamycin compared to placebo for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Clindamycin vs placebo
RR 4.08 [2.35, 7.08]1 study · 85 participantsLow

Amoxicillin compared to placebo for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Amoxicillin vs placebo
RR 2 [0.59, 6.79]1 study · 15 participantsVery low

Amoxicillin compared to azithromycin for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Amoxicillin vs azithromycin
RR 0.89 [0.71, 1.12]2 studies · 144 participantsVery low
Downgraded: imprecision

Amoxicillin compared to erythromycin for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Amoxicillin vs erythromycin
RR 0.97 [0.93, 1.01]4 studies · 466 participantsHigh

Azithromycin compared to erythromycin for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Azithromycin vs erythromycin
RR 1.11 [1, 1.23]6 studies · 374 participantsModerate

Clindamycin compared to erythromycin for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Clindamycin vs erythromycin
RR 1.06 [0.97, 1.15]2 studies · 173 participantsLow
Downgraded: imprecision

Amoxicillin compared to clindamycin for treating genital Chlamydia trachomatis infection in pregnancy

Population: Pregnant women with a confirmed Chlamydia trachomatis infection
1 question
OutcomeEffectEvidenceStatus / GRADE
Microbiological cure
Amoxicillin vs clindamycin
RR 0.96 [0.89, 1.04]1 study · 101 participantsModerate
Downgraded: imprecision