Outcome | Number of studies | Patients (n) | Effect size | 95% CI | I² (%) | P value (interaction) |
Bacterial resistance* | ||||||
Total | 7 | 444 | 1.68 | 0.70 to 4.07 | 60.6 | |
Route of administration (inhaled) | 3 | 87 | 1.03 | 0.23 to 4.70 | 43.1 | 0.11 |
Route of administration (oral) | 4 | 357 | 2.31 | 0.65 to 8.19 | 75 | |
Type of antibiotic (oral macrolides) | 3 | 319 | 2.23 | 0.049 to 10.15 | 82.2 | 0.71 |
Type of antibiotic (oral non-macrolides) | 1 | 38 | 3 | 0.34 to 26.33 | – | |
Bronchospasm* | ||||||
Total | 7 | 861 | 2.07 | 1.06 to 4.01 | 0 | |
Adult patients+inhaled antibiotics studies | 7 | 861 | 2.07 | 1.06 to 4.01 | 0 | |
FEV1 (L)† | ||||||
Total | 7 | 500 | 0.02 | 0.00 to 0.04 | 0 | |
Route of administration (inhaled) | 3 | 201 | 0.04 | −0.02 to 0.09 | 0 | 0.47 |
Route of administration (oral macrolides) | 4 | 299 | 0.02 | 0.00 to 0.04 | 0 | |
FEV1 (predicted, %)† | ||||||
Total | 9 | 674 | −0.10 | −0.22 to 0.01 | 0 | |
Route of administration (inhaled) | 4 | 259 | 0.16 | −1.65 to 1.96 | 55.1 | 0.26 |
Route of administration (oral macrolides) | 5 | 415 | 0.15 | −1.68 to 1.96 | 0 | |
FVC (predicted, %)† | ||||||
Total | 6 | 344 | −1.21 | −4.19 to 1.78 | 98.1 | |
Route of administration (inhaled) | 3 | 130 | −3.85 | −5.02 to 2.67 | 10.7 | 0.000002 |
Route of administration (oral macrolides) | 3 | 214 | 0.23 | −1.78 to 2.24 | 8.2 | |
Diarrhoea* | ||||||
Total | 5 | 401 | 3.04 | 1.63 to 5.68 | 0 | |
Type of antibiotic (oral macrolides) | 3 | 241 | 4.23 | 1.72 to 10.38 | 0 | 0.36 |
Type of antibiotic (oral non-macrolides) | 2 | 160 | 1.67 | 0.45 to 6.19 | 0 | |
Nausea* | ||||||
Total | 4 | 385 | 1.07 | 0.58 to 1.97 | 0 | |
Withdrawal due to toxicity or AE* | ||||||
Total | 12 | 1324 | 2.47 | 1.29 to 4.71 | 0 | |
Route of administration (inhaled) | 7 | 861 | 2.89 | 1.23 to 6.76 | 0 | 0.21 |
Route of administration (oral) | 5 | 463 | 1.06 | 0.29 to 3.81 | 0 | |
Type of antibiotic (oral macrolides) | 3 | 347 | 0.80 | 0.17 to 3.72 | 0 | 0.79 |
Type of antibiotic (oral non-macrolides) | 2 | 86 | 2 | 0.20 to 20.24 | – |
*Relative risk.
†Weighted mean difference.
AE, adverse event; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity.