Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

86 questions · 86 findings · 13 reviews · ENT

No studies found 35 · 40.7%GRADE not reported 2 · 2.3%Very low 14 · 16.3%Low 15 · 17.4%Moderate 18 · 20.9%High 2 · 2.3%

Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics

Resolution of ear discharge at short‐term

Antibiotic eardrops (with or without a corticosteroid) probably leads to higher resolution of ear discharge at short‐term compared with oral antibiotics (moderate certainty).

1 finding from 1 review

Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics

Resolution of ear discharge at intermediate‐term

Antibiotic eardrops (with or without a corticosteroid) probably leads to higher resolution of ear discharge at intermediate‐term compared with oral antibiotics (moderate certainty).

1 finding from 1 review

Intranasal steroid spray vs placebo

Adverse event: systemic corticosteroid side effects · children aged 6 months to 12 years with otitis media with effusion (OME)

It is very uncertain whether topical (intranasal) steroids changes adverse event: systemic corticosteroid side effects compared with placebo (very low certainty).

1 finding from 1 review

Intranasal steroid spray vs no treatment

Presence/persistence of OME · children aged 6 months to 12 years with otitis media with effusion (OME)

It is very uncertain whether topical (intranasal) steroids changes presence/persistence of OME (short‐term); assumed ICC = 0.5 compared with no treatment (very low certainty).

1 finding from 1 review