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Should preventive antibiotics be used in patients with acute stroke? A systematic review and meta-analysis of randomized controlled trials

improvement of an outcome) was the same for an antibiotics group and a control group. Also, there was no difference in length of hospital stay. Although, additional studies are required to learn if there is a subgroup of stroke patients, for whom the preventive use of antibiotics could be more profitable.

Infections, especially pneumonia and UTI, are the common complications of a stroke and is associated with bad outcome and high mortality rate. Meta-analysis of several randomized studies, which studied an impact of using antibiotics as preventive therapy in acute phase of a stroke, on final outcome, showed that preventive use of antibiotics would significantly reduce the rate of early infections (both, pneumonia and UTI). In spite of this, the results for secondary outcome (general mortality, early mortality, late mortality, 

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