Table 1

Characteristics of comparative trials included in the meta-analysis

Reference
Year
Type of trial
Study quality score
Study population/setting
Method for the micro-biological diagnosis of pneumonia
Length of ICU stay (days)
Duration of mechanical ventilation (days)
Studied drug/dosage
Drug administration
Mode of administration
ITT
No. of patients clinically evaluable

Wood et al. [21]
2002
Double-blind, placebo-controlled RCT
5
Mechanically ventilated for >2 days, trauma patients with >1 risk factor for post-traumatic pneumonia; ICU; USA
Bronchoalveolar lavage
19 ± 11 vs 21 ± 12
16 ± 11 vs 18 ± 13
Ceftazidime: 250 mg every 12 hours
For 7 days
Aerosolized
59
20 vs 20
Rouby et al. [19]
1994
Non-randomized clinical trial
NA
Mechanically ventilated for >3 days; surgical ICU; France
Bronchoalveolar lavage
No data
Survivors: 18 ± 12 vs 12 ± 14 Non-survivors: 9 ± 5 vs 8 ± 4
Colistin: 200,000 units every 3 h
For 2 weeks
Endotracheal instillation
598
347 vs 251
Rathgeber et al. [18]
1993
RCT
2
Mechanically ventilated; ICU; Germany
Bronchial secretions
No data
17 vs 13
Tobramycin: 80 mg every 6 hours
Until the time of extubation
Aerosolized
69
29 vs 40
Lode et al. [17]
1992
Double-blind, placebo-controlled, RCT
2
Mechanically ventilated for >3 days; 5 European ICUs
No data
No data
No data
Gentamicin: 40 mg every 6 hours
Until the time of extubation (<14 days)
Endotracheal instillation
199
85 vs 77
Vogel et al. [20]
1981
Non-randomized, controlled clinical trial
NA
Mechanically ventilated for >5 days; medical ICU; Germany
Tracheal aspirates
No data
8.3 vs 7.4
Gentamicin: 40 mg every 6 hours
For 2 weeks
Endotracheal instillation
40
20 vs 20
Klick et al. [15]
1975
Double-blind, placebo-controlled, non-randomized clinical trial
NA
Mechanically ventilated or not; respiratory-surgical ICU; USA
Sputum; Tracheal aspirates
5.1 vs 5.3
No data
Polymyxin B: 2.5 mg/kg body weight/day in 6 divided doses
Throughout the entire ICU stay
Aerosolized
744
355 vs 337
Klatersky et al. [13]
1974
Placebo-controlled RCT
3
Tracheostomised neurosurgical ICU; Belgium
Sputum; tracheal aspirates; bronchial secretions
19.9 vs 14.7
NA
Gentamicin: 80 mg every 8 hours
Throughout the entire ICU stay
Endotracheal instillation
110
43 vs 42
Greenfield et al. [11]
1973
RCT
1
Mechanically ventilated or not, high-risk patients; respiratory-surgical ICU; USA
Sputum
9.0 (median 6.0) vs 7.6 (median 6.0)
No data
Polymyxin B: 2.5 mg/kg body weight/day in 6 divided doses
Throughout the entire ICU stay
Aerosolized
58
33 vs 25

Values are for the group receiving prophylactic antibiotics by the respiratory tract versus (vs) the control group. ICU, intensive care unit; ITT, intention-to-treat; NA, non applicable; RCT, randomized controlled trial.

Falagas et al. Critical Care 2006 10:R123   doi:10.1186/cc5032