Cochrane · systematic review · CD001095

Short‐course antibiotics for acute otitis media

Kozyrskyj, AL, Klassen, TP, Moffatt, M, et al. · Cochrane Database of Systematic Reviews · 2010 · Cochrane Library

Acute Respiratory InfectionsAMSTAR 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
11
current version
GRADE rated
0
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 11 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

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

Short‐acting antibiotic > 48 hours short‐term treatment for acute otitis media

Population: patients with acute otitis media
6 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure at 1 month or less
OR 1.34 [1.15, 1.55]16 studies · 5093 participantsUngraded
Treatment failure at 8 to 19 days
OR 1.37 [1.15, 1.64]11 studies · 3932 participantsUngraded
Treatment failure at 20 to 30 days
OR 1.16 [0.94, 1.42]9 studies · 2476 participantsUngraded
Treatment failure at 3 months or less
OR 1.18 [0.98, 1.41]7 studies · 2068 participantsUngraded
Treatment failure at 90 days
OR 1.16 [0.65, 2.06]2 studies · 207 participantsUngraded
Treatment failure at 30 to 45 days
OR 1.18 [0.97, 1.43]5 studies · 1861 participantsUngraded

Ceftriaxone for acute otitis media

Population: patients with acute otitis media
2 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure at 1 month or less
OR 1.07 [0.86, 1.33]8 studies · 1709 participantsUngraded
Treatment failure at 3 months or less
OR 0.89 [0.66, 1.21]3 studies · 701 participantsUngraded

Azithromycin 3 to 5 days short‐term treatment for acute otitis media

Population: patients with acute otitis media
3 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure at 1 month or less
OR 1.02 [0.87, 1.2]19 studies · 4354 participantsUngraded
Treatment failure at 8 to 19 days
OR 1.27 [1.04, 1.55]18 studies · 4347 participantsUngraded
Treatment failure at 20 to 30 days
OR 0.98 [0.82, 1.17]11 studies · 2708 participantsUngraded