Cochrane · systematic review · CD012590

Head‐to‐head trials of antibiotics for bronchiectasis

Kaehne, A, Milan, SJ, Felix, LM, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

AirwaysAMSTAR 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
13
current version
GRADE rated
9
No studies
4
Included studies
NR
No studies 4 · 30.8%Ungraded 0 · 0%Very low 5 · 38.5%Low 4 · 30.8%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

Fluoroquinolones compared to amoxicillin for bronchiectasis

Population: adults aged 18 years and above with diagnosis of non‐cystic fibrosis bronchiectasis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations
Fluoroquinolones vs amoxicillin
no estimate extractedNRNo studies
Serious adverse events
Fluoroquinolones vs amoxicillin
no estimate extracted2 studies · 83 participantsLow
Downgraded: risk of bias
Response rate ‐ treatment failure
Fluoroquinolones vs amoxicillin
OR 0.07 [0.01, 0.32]2 studies · 83 participantsLow
Downgraded: risk of bias
Response rate ‐ microbiological response
Fluoroquinolones vs amoxicillin
Peto OR 20.09 [2.83, 142.59]1 study · 16 participantsLow
Downgraded: risk of bias
Response rate ‐ improvement in sputum purulence (excellent)
Fluoroquinolones vs amoxicillin
OR 2.35 [0.96, 5.72]2 studies · 83 participantsVery low
Downgraded: risk of bias
Deaths
Fluoroquinolones vs amoxicillin
no estimate extracted2 studies · 83 participantsLow
Downgraded: risk of bias
Quality of life
Fluoroquinolones vs amoxicillin
no estimate extractedNRNo studies

Polymyxins compared to aminoglycosides for bronchiectasis

Population: adults aged 18 years and above with diagnosis of bronchiectasis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbation
Polymyxins vs aminoglycosides
no estimate extractedNRNo studies
Serious adverse events
Polymyxins vs aminoglycosides
no estimate extracted1 study · 20 participantsVery low
Response rate ‐ improvement in sputum purulence
Polymyxins vs aminoglycosides
OR 0.16 [0.01, 3.85]1 study · 20 participantsVery low
Response rate ‐ P aeruginosa eradication
Polymyxins vs aminoglycosides
OR 1.4 [0.36, 5.35]1 study · 35 participantsVery low
Deaths
Polymyxins vs aminoglycosides
no estimate extracted1 study · 20 participantsVery low
Quality of life
Polymyxins vs aminoglycosides
no estimate extractedNRNo studies