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Antibióticos orales versus inhalados para la bronquiectasia

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Referencias

Referencias de los estudios excluidos de esta revisión

Aksamit 2016 {published data only}

Aksamit TR, De Soyza A, Operschall E, Bandel T‐J, Krahn U, Montegriffo E, et al. Baseline demographic profile of subjects of the phase 3 RESPIRE 2 trial of ciprofloxacin dry powder for inhalation (DPI) in non‐cystic fibrosis bronchiectasis (NCFB). American Thoracic Society 2016 International Conference 2016;193:A1768. [https://www.atsjournals.org/doi/abs/10.1164/ajrccm‐conference.2016.193.1_MeetingAbstracts.A1768]CENTRAL

Alder 2011 {published data only}

Alder J, Wilson R, Welte T, Polverino E, De Soyza A, Greville H. Antimicrobial efficacy of ciprofloxacin dry powder for inhalation in patients with non‐cystic fibrosis bronchiectasis [Abstract]. European Respiratory Journal 2011;38(Suppl 55):1930. CENTRAL

Antoniu 2011 {published data only}

Antoniu SA, Trofor AC. Inhaled gentamicin in non‐cystic fibrosis bronchiectasis: Effects of long‐term therapy. Expert Opininion in Pharmacotherapy 2011;12(7):1191‐4. CENTRAL

Bilton 2006 {published data only}

Bilton D, Henig N, Morrissey B, Gotfried M. Addition of inhaled tobramycin to ciprofloxacin for acute exacerbations of Pseudomonas aeruginosa infection in adult bronchiectasis. Chest 2006;130(5):1503‐10. CENTRAL

Chalmers 2012 {published data only}

Chalmers JD, Smith MP, McHugh BJ, Doherty C, Govan JR, Hill AT. Short‐ and long‐term antibiotic treatment reduces airway and systemic inflammation in non‐cystic fibrosis bronchiectasis. American Journal of Respiratory and Critical Care Medicine 2012;186(7):657‐65. CENTRAL

Fiel 2000 {published data only}

Fiel SB. The relationship between antimicrobial efficacy and improved medical condition in tobramycin solution for inhalation therapy in bronchiectasis. European Respiratory Journal 2000;16(Suppl 31):S494. CENTRAL

Flume 2013 {published data only}

Flume P, Barker AF, Ruzi J, Thompson P, Lewis S, Shao L, et al. Baseline demographic profile of subjects from a study of inhaled aztreonam lysine for chronic gram negative infection with non‐cystic fibrosis bronchiectasis. American Journal of Respiratory and Critical Care Medicine 2013;187:A4536. CENTRAL

Hampel 2011 {published data only}

Hampel B, Schoeman O, Reimnitz P, Jones P, Wilson R. Health status impact of ciprofloxacin dry powder for inhalation in patients with non‐cystic fibrosis bronchiectasis. European Respiratory Journal 2011;38(Suppl 55):2534. CENTRAL

Labiris 1999 {published data only}

Crowther Labiris NR, Holbrook AM, Chrystyn H, Macleod SM, Newhouse MT. Dry powder versus intravenous and nebulized gentamicin in cystic fibrosis and bronchiectasis. A pilot study. American Journal of Respiratory and Critical Care Medicine 1999;160(5):1711‐6. CENTRAL

Ledson 2000 {published data only}

Ledson MJ, Cowperthwaite C, Walshaw MJ, Gallagher MJ, Williets T, Hart CA. Nebulised taurolidine and B cepacia bronchiectasis. Thorax 2000;55(1):91‐2. CENTRAL

Murray 2009 {published data only}

Murray MP, Govan RW, Doherty CJ, Greening AP, Gray RD, Simpson AJ, et al. Long‐term nebulised gentamicin in non‐cystic fibrosis bronchiectasis improves microbial load, exercise tolerance, exacerbation frequency and health‐related quality of life. Thorax 2009;64(Suppl 4):S125. CENTRAL

NCT00749866 2008 {published data only}

NCT00749866. Long term nebulised gentamicin in patients with bronchiectasis [Can long term nebulised gentamicin reduce the bacterial burden, break the vicious cycle of inflammation and improve quality of life in patients with bronchiectasis]. clinicaltrials.gov/ct2/show/NCT00749866 (first received 9 September 2008). CENTRAL

NCT01313624 2011 {published data only}

NCT01313624. A study to see if AZLI (an inhaled antibiotic) is effective in treating adults with non‐cf bronchiectasis ‐ AIR‐BX1 [A phase 3, double‐blind, multicenter, randomized, placebo‐controlled trial evaluating repeated courses of aztreonam for inhalation solution in subjects with non‐cf bronchiectasis and gram‐negative endobronchial infection]. clinicaltrials.gov/ct2/show/NCT01313624 (first received 14 March 2011). CENTRAL

NCT01677403 2012 {published data only}

NCT01677403. A study to access safety and efficacy of nebulized tobramycin in patients with bronchiectasis [A randomized,controlled study to evaluate the efficacy,indications,adverse reactions and resistance of combined administration of nebulized tobramycin compared with systemic administration alone in patients with bronchiectasis]. clinicaltrials.gov/ct2/show/NCT01677403 (first received 3 September 2012). CENTRAL

O'Donnell 1999 {published data only}

O'Donnell A, Tully H, Kylstra JW, Wells C, Schaeffler B, Barker AF. Tobramycin solution for inhalation (TOBI) as maintenance treatment for bronchiectasis patients with pseudomonas aeruginosa. Thorax 1999;54(Suppl 3):A68. CENTRAL

O'Donnell 2016 {published data only}

O'Donnell AE, Bilton D, Serisier D, Wanner A, Froehlich J, Bruinenberg P, et al. ORBIT‐3 and ORBIT‐4: design of a phase 3 program to investigate safety and efficacy of pulmaquin in non‐cystic fibrosis bronchiectasis (NCFBE) patients chronically colonized with pseudomonas aeruginosa (PA). American Journal of Respiratory and Critical Care Medicine 2016;193:A1775. CENTRAL

Orriols 1999 {published data only}

Orriols R, Roig J, Ferrer J, Sampol G, Rosell A, Ferrer A, et al. Inhaled antibiotic therapy in non‐cystic fibrosis patients with bronchiectasis and chronic bronchial infection by pseudomonas aeruginosa. Respiratory Medicine 1999;93(7):476‐80. CENTRAL

Santiveri 1995 {published data only}

Santiveri C, Orriols R, Roig J, Balcells E, Bellver P, Ferrer A, et al. Effectiveness of inhaled antibiotic treatment for pseudomonas aeruginosa in outpatients with colonized bronchiectasis without mucoviscidosis. Archivos de Bronconeumologia 1995;31(Suppl):42. CENTRAL

Serisier 2012 {published data only}

Serisier DJ, Bowler SD. Randomized controlled trial of nebulized gentamicin in non‐cystic fibrosis bronchiectasis...without patient blinding. American Journal of Respiratory and Critical Care Medicine 2012;186(5):461; author reply 461‐2. CENTRAL

Shrewsbury 2004 {published data only}

Shrewsbury SB, Bilton D, Gotfried M, Jones SA. The TABLE study (TOBI in acute bronchiectasis: additional treatment for exacerbations): rationale and methodology [Abstract]. American Thoracic Society 100th International conference; 2004 May 21‐26; Orlando. 2004:A42 Poster A53. CENTRAL

Soyza 2015 {published data only}

Soyza A De, T Aksamit, E Operschall, T J Bandel, U Krahn, M Criollo, et al. Baseline demographic profile of subjects of the phase 3 RESPIRE 1 trial of ciprofloxacin dry powder for inhalation (DPI) in non‐cystic fibrosis bronchiectasis (NCFB). European Respiratory Journal 2015;46(Suppl 59):PA2617. CENTRAL

Tabernero 2012 {published data only}

Tabernero E, Alkiza R, Gil P, Garros J, Cantero D, Artola JL, et al. Inhaled colistin in elderly patients with bronchiectasis and chronic bronchial infection with pseudomonas. European Respiratory Journal 2012;40(Suppl 56):S215. CENTRAL

Terpstra 2016 {published data only}

Terpstra L, Altenburg J, Duijkers R, Boersma WG. Study design: effects of long term tobramycin inhalation solution (TIS) once daily on exacerbation rate in patients with non‐cystic fibrosis bronchiectasis  a double blind, randomized, placebo and TIS twice daily (open label) controlled trial. The BATTLE study. American Journal of Respiratory and Critical Care Medicine 2016;193:A1788. CENTRAL

Twiss 2008 {published data only}

Twiss J, Byrnes CA. Nebulized antibiotics reduce symptoms, bacterial density and oral antibiotic usage in children with non cystic fibrosis bronchiectasis. American Thoracic Society International Conference; 2008 May 16‐21; Toronto. 2008:A681. CENTRAL

Twiss 2009 {published data only}

J Twiss, C Byrnes. Nebulised antibiotics reduce symptoms, bacterial density and oral antibiotic usage in children with non cystic fibrosis bronchiectasis. Respirology 2009;14(Suppl 1):A76. CENTRAL

Wilson 2011 {published data only}

Wilson R, Welte T, Polverino E, De Soyza A, Greville HW, O’Donnell AE, et al. Efficacy and safety of ciprofloxacin dry powder for inhalation in patients with non‐cystic fibrosis bronchiectasis. European Respiratory Journal 2011;38(Suppl 55):S334. CENTRAL

Wong 2004 {published data only}

Wong M, Lam J, Ip S, Lam CL, Ip M, Lam WK, et al. Quality of life effect of levofloxacin compared to ceftazidime treatment in infective exacerbation of bronchiectasis. Respirology 2004;9(Suppl 3):A135. CENTRAL

Referencias adicionales

Aliberti 2016a

Aliberti S, Lonni S, Dore S, McDonnell MJ, Goeminne PC, Dimakou K, et al. Clinical phenotypes in adult patients with bronchiectasis. European Respiratory Journal 2016;47(4):1113‐22. [DOI: 10.1183/13993003.01899‐2015]

Aliberti 2016b

Aliberti S, Masefield S, Polverino E, De Soyza A, Loebinger MR, Menendez R, et al. Research priorities in bronchiectasis: a consensus statement from the EMBARC Clinical Research Collaboration. European Respiratory Journal 2016;48(3):632‐47. [DOI: 10.1183/13993003.01888‐2015]

Altenburg 2011a

Altenburg J, de Graaff CS, van der Werf TS, Boersma WG. Immunomodulatory effects of macrolide antibiotics ‐ part 1: biological mechanisms. Respiration 2011;81(1):67‐74.

Altenburg 2011b

Altenburg J, de Graaff CS, van der Werf TS, Boersma WG. Immunomodulatory effects of macrolide antibiotics ‐ part 2: advantages and disadvantages of long‐term, low‐dose macrolide therapy. Respiration 2011b;81(1):75‐87.

Altenburg 2013

Altenburg J, de Graaff CS, Stienstra Y, Sloos JH, van Haren EH, Koppers RJ, et al. Effect of azithromycin maintenance treatment on infectious exacerbations among patients with non‐cystic fibrosis bronchiectasis: the BAT randomized controlled trial. Journal of the American Medical Association 2013;309(12):1251‐9.

BNF (online)

Joint Formulary Committee. British National Formulary. www.medicinescomplete.com/mc/?utm_source=bnforg&utm_medium=homepage&utm_campaign=medicinescomplete (accessed 13 October 2016).

Brodt 2014

Brodt AM, Stovold E, Zhang L. Inhaled antibiotics for stable non‐cystic fibrosis bronchiectasis: a systematic review. European Respiratory Journal 2014;44(2):382‐93. [DOI: 10.1183/09031936.00018414]

Chalmers 2015

Chalmers JD, Aliberti S, Blasi F. Management of bronchiectasis in adults. European Respiratory Journal 2015;45(5):1446‐62. [DOI: 10.1183/09031936.00119114]

Chalmers 2016

Chalmers JD, Aliberti S, Polverino E, Vendrell M, Crichton M, Loebinger M, et al. The EMBARC European Bronchiectasis Registry: protocol for an international observational study. European Respiratory Journal 2016;2(1):00081‐2015. [DOI: 10.1183/23120541.00081‐2015]

Chalmers JD 2012

Chalmers JD, Smith MP, McHugh BJ, Doherty C, Govan JR, Hill AT. Short‐ and long‐term antibiotic treatment reduces airway and systemic inflammation in non‐cystic fibrosis bronchiectasis. American Journal of Respiratory and Critical Care Medicine 2012;186(7):657‐65.

Chang 2002

Chang AB, Grimwood K, Mulholland K, Torzillo P. Bronchiectasis in Indigenous children in remote Australian communities. Medical Journal of Australia 2002;177:200‐4. [PUBMED: 12175325]

Chang 2003

Chang AB, Bell SC, Byrnes CA, Grimwood K, HolmesP, King PT, et al. Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand: a position statement from the Thoracic Society of Australia and New Zealand and the Australian Lung Foundation. Medical Journal of Australia 2010;193(6):356‐65.

Cystic Fibrosis Trust 2009

Cystic Fibrosis Trust. Antibiotic treatment for cystic fibrosis. Third Edition. London: Cystic Fibrosis Trust, 2009.

Donovan 2017

Donovan T, Felix LM, Chalmers JD, Milan SJ, Mathioudakis AG, Spencer S. Continuous versus intermittent antibiotics for non‐cystic fibrosis bronchiectasis. Cochrane Database of Systematic Reviews 2017, Issue 7. [DOI: 10.1002/14651858.CD012733]

Dudley 2008

Dudley MN, Loutit J, Griffith DC. Aerosol antibiotics: considerations in pharmacological and clinical evaluation. Current Opinion in Biotechnology 2008;19(6):637‐43.

European Lung White Book 2013

Gibson GJ, Loddenkemper R, Lundback Bo, Sibille Y (eds). Bronchiectasis. European Lung White Book: Respiratory Health and Disease in Europe. European Respiratory Society, 2013. [http://www.erswhitebook.org/]

Felix 2017

Felix Lambert M, Grundy S, Milan Stephen J, Armstrong R, Harrison H, Lynes D, et al. Dual antibiotics for non‐cystic fibrosis bronchiectasis. Cochrane Database of Systematic Reviews 2017, Issue 1. [DOI: 10.1002/14651858.CD012514]

Flume 2007

Flume PA, O’Sullivan BP, Robinson KA, Goss CH, Mogayzel PJ, Willey‐Courand DB, et al. Cystic fibrosis pulmonary guidelines: chronic medications for maintenance of lung health. American Journal of Respiratory and Critical Care Medicine 2007;176(10):957–69. [DOI: 10.1164/rccm.200705‐664OC]

Geller 2009

Geller DE. Aerosol antibiotics in cystic fibrosis. Respiratory Care 2009;54(5):658‐70.

Goeminne 2010

Goeminne P, Dupont L. Non‐cystic fibrosis bronchiectasis: diagnosis and management in 21st century. Postgraduate Medical Journal 2010;86(1018):493‐501.

Goeminne 2014

Goeminne PC, Vandooren J, Moelants EA, Decraene A, Rabaey E, Pauwels A, et al. The sputum colour chart as a predictor of lung inflammation, proteolysis and damage in non‐cystic fibrosis bronchiectasis: a case‐control analysis. Respirology 2014;19(2):203‐10.

Goeminne 2016

Pieter G, De Soyza A. Bronchiectasis: how to be an orphan with many parents?. European Respiratory Journal 2016;47(1):10‐3.

GRADEpro GDT [Computer program]

McMaster University (developed by Evidence Prime). GRADEpro GDT. Version accessed 1 March 2017. Hamilton (ON): McMaster University (developed by Evidence Prime), 2015.

Habesoglu 2011

Habesoglu MA, Ugurlu AO, Eyuboglu FO. Clinical, radiologic, and functional evaluation of 304 patients with bronchiectasis. Annals of Thoracic Medicine 2011;6(3):131‐6.

Higgins 2011

Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from handbook.cochrane.org.

Hill 2017

Hill AT, Haworth CS, Aliberti S, Barker A, Blasi F, Boersma W, et al. Pulmonary exacerbation in adults with bronchiectasis: a consensus definition for clinical research. European Respiratory Journal 2017;49(6):pii: 1700051. [DOI: 10.1183/13993003.00051‐2017]

Hnin 2015

Hnin K, Nguyen C, Carson KV, Evans DJ, Greenstone M, Smith BJ. Prolonged antibiotics for non‐cystic fibrosis bronchiectasis in children and adults. Cochrane Database of Systematic Reviews 2015, Issue 8. [DOI: 10.1002/14651858.CD001392.pub3]

Kaehne 2017

Kaehne A, Milan SJ, Felix LM, Spencer S, Sheridan E, Marsden PA. Head‐to‐head trials of antibiotics for non‐cystic fibrosis bronchiectasis. Cochrane Database of Systematic Reviews 2017, Issue 3. [DOI: 10.1002/14651858.CD012590]

Kelly 2016

Kelly C, Evans David J, Chalmers James D, Crossingham I, Spencer S, Relph N, et al. Macrolide antibiotics for non‐cystic fibrosis bronchiectasis. Cochrane Database of Systematic Reviews 2016, Issue 10. [DOI: 10.1002/14651858.CD012406]

Kolbe 1996

Kolbe J, Wells AU. Bronchiectasis: a neglected cause of respiratory morbidity and mortality. Respirology 1996;1(4):221‐5.

Lonni 2015

Lonni S, Chalmers JD, Goeminne PC, McDonnell MJ, Dimakou K, De Soyza A, et al. Etiology of non‐cystic fibrosis bronchiectasis in adults and its correlation to disease severity. Annals of the American Thoracic Society 2015;12(12):1764‐70.

Moher 2009

Moher D, Liberati A, Tetzlaff J, Altman D. Preferred reporting items for systematic reviews and meta‐analyses: the PRISMA statement. PLoS Medicine 2009;6(7):e1000097. [DOI: 10.1371/journal.pmed.1000097]

Pasteur 2010

Pasteur MC, Bilton D, Hill AT, British Thoracic Society Bronchiectasis non‐CF Guideline Group. British Thoracic Society guideline for non‐CF bronchiectasis. Thorax 2010;65 Suppl 1:i1‐58.

Polverino 2017

Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, et al. European Respiratory Society guidelines for the management of adult bronchiectasis. European Respiratory Journal 2017;50(3):pii: 1700629. [10.1183/13993003.00629‐2017]

Quint 2016

Quint JK, Millett ER, Joshi M, Navaratnam V, Thomas SL, Hurst JR, et al. Changes in the incidence, prevalence and mortality of bronchiectasis in the UK from 2004 to 2013: a population‐based cohort study. European Respiratory Journal 2016;47(1):186‐93.

Quon 2014

Quon BS, Goss CH, Ramsey BW. Inhaled antibiotics for lower airway infections. Annals of the American Thoracic Society 2014;11(3):425‐34.

Restrepo 2015

Restrepo MI, Keyt H, Reyes LF. Aerolized antibiotics. Respiratory Care 2015;60(6):762‐1; discussion 771‐3.

RevMan 2014 [Computer program]

Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.3. Copenhagen: Nordic Cochrane Centre, The Cochrane Collaboration, 2014.

Roberts 2010

Roberts HJ, Hubbard R. Trends in bronchiectasis mortality in England and Wales. Respiratory Medicine 2010;104:981‐5.

Rubin 2008

Rubin BK. Aerosolized antibiotics for noncystic fibrosis bronchiectasis. Journal of Aerosol Medicine and Pulmonary Drug Delivery 2008;21(1):71‐6.

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Ryan G, Singh M, Dwan K. Inhaled antibiotics for long‐term therapy in cystic fibrosis. Cochrane Database of Systematic Reviews 2011, Issue 3. [DOI: 10.1002/14651858.CD001021.pub2]

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Seitz AE, Olivier KN, Steiner CA, Montes de Oca R, Holland SM, Prevots DR. Trends and burden of bronchiectasis‐associated hospitalizations in the United States, 1993‐2006. Chest 2010;138:944‐9.

Seitz 2012

Seitz AE, Olivier KN, Adjemian J, Holland SM, Prevots DR. Trends in bronchiectasis among Medicare beneficiaries in the United States, 2000‐2007. Chest 2012;142(2):432‐9.

Serisier 2013

Serisier DJ, Martin ML, McGuckin MA, Lourie R, Chen AC, Brain B, et al. Effect of long‐term, low‐dose erythromycin on pulmonary exacerbations among patients with non‐cystic fibrosis bronchiectasis: the BLESS randomised controlled trial. JAMA 2013;309(12):1260‐7.

Singleton 2000

Singleton R, Morris A, Redding G, Poll J, Holck P, Martinez P, et al. Bronchiectasis in Alaska Native children: causes and clinical courses. Pediatric Pulmonology 2000;29(3):182‐7. [DOI: 10.1002/(SICI)1099‐0496(200003)29:3<182::AID‐PPUL5>3.0.CO;2‐T]

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Southern KW, Barker PM, Solis‐Moya A, Patel L. Macrolide antibiotics for cystic fibrosis. Cochrane Database of Systematic Reviews 2012, Issue 11. [DOI: 10.1002/14651858.CD002203.pub4]

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Welsh EJ, Evans DJ, Fowler SJ, Spencer S. Interventions for bronchiectasis: an overview of Cochrane systematic reviews. Cochrane Database of Systematic Reviews 2015, Issue 7. [DOI: 10.1002/14651858.CD010337.pub2]

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Weycker D, Edelsberg J, Oster G, Tino G. Prevalence and economic burden of bronchiectasis. Clinical Pulmonary Medicine 2005;12(4):205‐9.

Wilson 2016

Wilson R, Aksamit T, Aliberti S, De Soyza A, Elborn JS, Goeminne P, et al. Challenges in managing pseudomonas aeruginosa in non‐cystic fibrosis bronchiectasis. Respiratory Medicine 20165;117:179‐89.

Wong 2012

Wong C, Jayaram L, Karalus N, Eaton T, Tong C, Hockey H, et al. Azithromycin for prevention of exacerbations in non‐cystic fibrosis bronchiectasis (EMBRACE): a randomised, double‐blind, placebo‐controlled trial. Lancet 2012;380(9842):660‐7.

Yang 2016

Yang JW, Fan LC, Lu HW, Miao XY, Mao B, Xu JF. Efficacy and safety of long‐term inhaled antibiotic for patients with noncystic fibrosis bronchiectasis: a meta‐analysis. Clinical Respiratory Journal2016; Vol. 10, issue 6:731‐9. [DOI: 10.1111/crj.12278]

Characteristics of studies

Characteristics of excluded studies [ordered by study ID]

Study

Reason for exclusion

Aksamit 2016

Wrong comparator. The trial compares inhaled ciprofloxacin to placebo.

Alder 2011

Wrong comparator. The trial compares inhaled ciprofloxacin to placebo.

Antoniu 2011

Wrong comparator. The trial compares inhaled gentamicin to placebo.

Bilton 2006

Wrong intervention. The trial compares the addition of inhaled tobramycin to ciprofloxacin versus ciprofloxacin alone.

Chalmers 2012

Not a randomised controlled trial. The study sought to investigate the impact of long‐ and short‐term antibiotic treatment on inflammation.

Fiel 2000

Wrong comparator. The trial compares inhaled tobramycin to placebo.

Flume 2013

Wrong comparator. The trial compares inhaled aztreonam to placebo.

Hampel 2011

Wrong comparator. The trial compares inhaled ciprofloxacin to placebo.

Labiris 1999

Wrong comparator. The trial compared inhaled and nebulised gentamicin to intravenous gentamicin in a triple cross‐over design.

Ledson 2000

Letter to editor regarding "n of 1" trial of inhaled taurolidine versus placebo

Murray 2009

Wrong comparator. The trial compares inhaled gentamicin to placebo.

NCT00749866 2008

Wrong comparator. The trial compares inhaled gentamicin to placebo.

NCT01313624 2011

Wrong comparator. The trial compares inhaled aztreonam to placebo.

NCT01677403 2012

Wrong comparator. The trial compares inhaled tobramycin to placebo.

O'Donnell 1999

Wrong comparator. The trial compares inhaled tobramycin to placebo.

O'Donnell 2016

Wrong comparator. The trial compares inhaled ciprofloxacin to placebo.

Orriols 1999

Wrong comparator. The trial compares inhaled ceftazidime and tobramycin to usual care.

Santiveri 1995

Wrong comparator. The trial compares addition of inhaled antibiotics to intravenous antibiotics versus intravenous antibiotics alone.

Serisier 2012

Letter to editor regarding trial of inhaled gentamicin compares to placebo

Shrewsbury 2004

Wrong intervention. The trial compares the addition of inhaled tobramycin to ciprofloxacin to ciprofloxacin alone.

Soyza 2015

Wrong comparator. The trial compares inhaled ciprofloxacin to placebo.

Tabernero 2012

Wrong comparator. The trial compares inhaled colistin to usual care.

Terpstra 2016

Wrong comparator. The trial compares two different doses of inhaled tobramycin to placebo.

Twiss 2008

Wrong comparator. The trial compares inhaled gentamicin to placebo.

Twiss 2009

Wrong comparator. The trial compares inhaled gentamicin to placebo.

Wilson 2011

Wrong comparator. The trial compares inhaled ciprofloxacin to placebo.

Wong 2004

Wrong intervention and wrong comparator. Trial compares intravenous followed by oral antibiotics for an acute exacerbation of bronchiectasis, versus a full intravenous course of antibiotics.

Study flow diagram
Figuras y tablas -
Figure 1

Study flow diagram