Cochrane · systematic review · CD011825

Adverse events in people taking macrolide antibiotics versus placebo for any indication

Hansen, MP, Scott, AM, McCullough, A, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 20%Low 5 · 50%Moderate 3 · 30%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

Gastrointestinal adverse events in people taking macrolide antibiotics versus placebo for any indication

Population: any indication
5 questions
OutcomeEffectEvidenceStatus / GRADE
Gastrointestinal disorders not otherwise specified
Gastrointestinal adverse events in people taking macrolide antibiotics vs placebo
OR 2.16 [1.56, 3]23 studies · 3295 participantsModerate
Downgraded: imprecision
Abdominal pain
Gastrointestinal adverse events in people taking macrolide antibiotics vs placebo
OR 1.66 [1.22, 2.26]23 studies · 7776 participantsLow
Downgraded: imprecision
Diarrhoea
Gastrointestinal adverse events in people taking macrolide antibiotics vs placebo
OR 1.7 [1.34, 2.16]37 studies · 23754 participantsLow
Downgraded: imprecision
Nausea
Gastrointestinal adverse events in people taking macrolide antibiotics vs placebo
OR 1.61 [1.37, 1.9]28 studies · 14983 participantsModerate
Downgraded: imprecision
Vomiting
Gastrointestinal adverse events in people taking macrolide antibiotics vs placebo
OR 1.27 [1.04, 1.56]15 studies · 5328 participantsModerate
Downgraded: imprecision

Other adverse events in people taking macrolide antibiotics versus placebo for any indication

Population: any indication
5 questions
OutcomeEffectEvidenceStatus / GRADE
Cardiac disorders
Other adverse events in people taking macrolide antibiotics vs placebo
OR 0.87 [0.54, 1.4]7 studies · 1715 participantsVery low
Downgraded: imprecision
Hearing loss
Other adverse events in people taking macrolide antibiotics vs placebo
OR 1.3 [1, 1.7]4 studies · 1369 participantsLow
Downgraded: imprecision
Taste disturbance
Other adverse events in people taking macrolide antibiotics vs placebo
OR 4.95 [1.64, 14.93]5 studies · 932 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Hepatobiliary disorders
Other adverse events in people taking macrolide antibiotics vs placebo
OR 1.04 [0.27, 4.09]4 studies · 443 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Deaths
Other adverse events in people taking macrolide antibiotics vs placebo
OR 0.96 [0.87, 1.06]52 studies · 216246 participantsLow
Downgraded: imprecision