Cochrane Db Syst Rev
-
Cochrane Db Syst Rev · Feb 2016
Review Meta AnalysisAntibiotics for preventing suppurative complications from undifferentiated acute respiratory infections in children under five years of age.
Undifferentiated acute respiratory infections (ARIs) are a large and heterogeneous group of infections not clearly restricted to one specific part of the upper respiratory tract, which last for up to seven days. They are more common in pre-school children in low-income countries and are responsible for 75% of the total amount of prescribed antibiotics in high-income countries. One possible rationale for prescribing antibiotics is the wish to prevent bacterial complications. ⋯ There is insufficient evidence for antibiotic use as a means of reducing the risk of otitis or pneumonia in children up to five years of age with undifferentiated ARIs. Further high-quality research is needed to provide more definitive evidence of the effectiveness of antibiotics in this population.
-
Cochrane Db Syst Rev · Feb 2016
Review Meta AnalysisAntibiotics for preventing suppurative complications from undifferentiated acute respiratory infections in children under five years of age.
Undifferentiated acute respiratory infections (ARIs) are a large and heterogeneous group of infections not clearly restricted to one specific part of the upper respiratory tract, which last for up to seven days. They are more common in pre-school children in low-income countries and are responsible for 75% of the total amount of prescribed antibiotics in high-income countries. One possible rationale for prescribing antibiotics is the wish to prevent bacterial complications. ⋯ There is insufficient evidence for antibiotic use as a means of reducing the risk of otitis or pneumonia in children up to five years of age with undifferentiated ARIs. Further high-quality research is needed to provide more definitive evidence of the effectiveness of antibiotics in this population.
-
Cochrane Db Syst Rev · Feb 2016
ReviewStrategies designed to help healthcare professionals to recruit participants to research studies.
Identifying and approaching eligible participants for recruitment to research studies usually relies on healthcare professionals. This process is sometimes hampered by deliberate or inadvertent gatekeeping that can introduce bias into patient selection. ⋯ There is no strong evidence for any single strategy to help healthcare professionals to recruit participants in research studies. Additional visits or information did not appear to increase recruitment by healthcare professionals. The most promising strategies appear to be those with a dedicated resource (e.g. a clinical recruiter or automated alert system) for identifying suitable participants that reduced the demand on healthcare professionals, but these were assessed in studies at high risk of bias.
-
Cochrane Db Syst Rev · Feb 2016
Review Meta AnalysisOral iron supplements for children in malaria-endemic areas.
Iron-deficiency anaemia is common during childhood. Iron administration has been claimed to increase the risk of malaria. ⋯ Iron treatment does not increase the risk of clinical malaria when regular malaria prevention or management services are provided. Where resources are limited, iron can be administered without screening for anaemia or for iron deficiency, as long as malaria prevention or management services are provided efficiently.
-
Cochrane Db Syst Rev · Feb 2016
Review Meta AnalysisOral iron supplements for children in malaria-endemic areas.
Iron-deficiency anaemia is common during childhood. Iron administration has been claimed to increase the risk of malaria. ⋯ Iron treatment does not increase the risk of clinical malaria when regular malaria prevention or management services are provided. Where resources are limited, iron can be administered without screening for anaemia or for iron deficiency, as long as malaria prevention or management services are provided efficiently.