Cochrane · systematic review · CD000023

Antibiotics for treatment of sore throat in children and adults

Spinks, A, Glasziou, PP, Del Mar, CB · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Acute Respiratory Infections3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 12.5%Moderate 3 · 37.5%High 4 · 50%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Antibiotics compared with control for sore throat

Population: adults and children presenting with sore throat
CD000023.PUB5 (current) · 8 questions
OutcomeEffectEvidenceStatus / GRADE
Sore throat: day 3
Antibiotics vs control
RR 0.7 [0.6, 0.8]16 studies · 3730 participantsModerate
Downgraded: inconsistency
Sore throat: 1 week
Antibiotics vs control
RR 0.5 [0.34, 0.75]14 studies · 3083 participantsModerate
Downgraded: inconsistency
Fever: day 3
Antibiotics vs control
RR 0.75 [0.53, 1.07]8 studies · 1443 participantsHigh
Headache: day 3
Antibiotics vs control
RR 0.49 [0.34, 0.7]4 studies · 1020 participantsHigh
Rheumatic fever (within 2 months, clinical diagnosis)
Antibiotics vs control
Peto OR 0.32 [0.18, 0.58]17 studies · 12132 participantsModerate
Downgraded: inconsistency
Glomerulonephritis (within 1 month, clinical diagnosis)
Antibiotics vs control
Peto OR 0.07 [0, 1.32]10 studies · 5147 participantsLow
Downgraded: imprecision
Quinsy (within 2 months, clinical diagnosis)
Antibiotics vs control
Peto OR 0.16 [0.07, 0.35]7 studies · 2367 participantsHigh
Otitis media (within 14 days, clinical diagnosis)
Antibiotics vs control
Peto OR 0.21 [0.11, 0.4]10 studies · 3646 participantsHigh

Comparison

Population: patients presenting with sore throat
CD000023.PUB4 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Sore throat: day 3
no estimate extracted15 studies · 3621 participantsHigh
Sore throat: day 7
no estimate extracted13 studies · 2974 participantsHigh
Rheumatic fever
no estimate extracted16 studies · 10101 participantsHigh
Glomerulonephritis
no estimate extracted10 studies · 5147 participantsLow
Quinsy
no estimate extracted8 studies · 2433 participantsHigh
Otitis media
no estimate extracted11 studies · 3760 participantsHigh

Comparison

Population: patients presenting with sore throat
CD000023.PUB3 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Sore throat: day 3
no estimate extracted15 studies · 3621 participantsHigh
Sore throat: day 7
no estimate extracted13 studies · 2974 participantsHigh
Rheumatic fever
no estimate extracted16 studies · 10101 participantsHigh
Glomerulonephritis
no estimate extracted10 studies · 5147 participantsLow
Quinsy
no estimate extracted8 studies · 2433 participantsHigh
Otitis media
no estimate extracted11 studies · 3760 participantsHigh