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<br>The quality of included studies was poor overall We did not detect bias induced by any of the measures assessed We could not obtain data on all cause fatality for 33% of studies It is unlikely that missing results would shift the results for studies comparing the same lactam relative risk 1 02 0 76 to 1 38 but it is of concern that studies comparing different lactams 0 85 0 69 to 1 05 may not detect important harm to patients
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