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Efficacy and Safety of Erythromycin in the Treatment of Mycoplasma Pneumonia in Children: A Systematic Review and Meta-Analysis

Mingxiu Sun, Zhi-Rui Xue, Jia-Rui Li, Li-Kun Du

Indian Journal of Pharmaceutical Education and Research, 2024

599 participants · 1 citation

Abstract

Aim The effectiveness and safety of erythromycin for treating mycoplasma pneumonia in pediatric patients is a subject of significant interest. This study aims to conduct a systematic review and meta-analysis to assess the efficacy and safety of erythromycin in the treatment of mycoplasma pneumonia in children,with the goal of providing evidence-based recommendations for pediatric care. Methodology We systematically reviewed randomized controlled trials published prior to January 1, 2024, that evaluated the efficacy and safety of erythromycin in the treatment of mycoplasma pneumonia in children. Outcome measures of primary concern include clinical efficacy, complications or adverse events. We used the inverse variance method to perform a meta-analysis of random effects, representing the effects in terms of Standardized Mean Difference (SMD) or Mean Difference (MD) and giving a 95% Confidence Interval (CIs). In addition, we performed a risk assessment of bias using the Cochrane tool. A total of 68 relevant studies were searched and 4 literatures meeting the requirements were included, with a total of 599 children. Results The results of meta-analysis showed that the efficacy of erythromycin in the treatment of mycoplasma pneumonia in children was not statistically significant compared with conventional treatment [RR=12.31, 95%CI (-1.23, 25.86)]. The safety of erythromycin in the treatment of mycoplasma pneumonia in children was significantly different from that of conventional…

How strong is the evidence?

Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 599 participants or records.

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