Cochrane · systematic review · CD010089

Influenza vaccines for preventing acute otitis media in infants and children

Norhayati, MN, Ho, JJ, Azman, MY · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Acute Respiratory Infections2 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 80%Moderate 1 · 20%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

Current version only

Influenza vaccine compared to control for preventing acute otitis media in infants and children

Population: infants and children
CD010089.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
At least 1 episode of acute otitis media
Influenza vaccine vs control
RR 0.84 [0.69, 1.02]4 studies · 3134 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Courses of antibiotics
Influenza vaccine vs control
RR 0.7 [0.59, 0.83]2 studies · 1223 participantsModerate
Downgraded: risk of bias, publication bias
Fever
Influenza vaccine vs control
RR 1.15 [1.06, 1.24]7 studies · 10615 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Rhinorrhoea
Influenza vaccine vs control
RR 1.17 [1.07, 1.29]6 studies · 10563 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Pharyngitis
Influenza vaccine vs control
RR 1 [0.8, 1.25]3 studies · 4429 participantsLow
Downgraded: risk of bias, inconsistency, publication bias

Influenza vaccine compared to control for preventing acute otitis media

Population: infants and children
CD010089.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
At least one episode of AOM
Influenza vaccine vs control
RR 0.8 [0.67, 0.96]5 studies · 4736 participantsHigh
AOM by setting ‐ healthcare setting
Influenza vaccine vs control
RR 0.84 [0.71, 0.99]4 studies · 4550 participantsHigh
AOM by setting ‐ daycare setting
Influenza vaccine vs control
RR 0.58 [0.36, 0.92]1 study · 186 participantsModerate
Downgraded: imprecision
Courses of antibiotics
Influenza vaccine vs control
RR 0.7 [0.59, 0.83]2 studies · 1223 participantsHigh
Adverse event ‐ fever
Influenza vaccine vs control
RR 1.15 [1.06, 1.24]6 studies · 10199 participantsModerate
Downgraded: risk of bias, imprecision
Adverse event ‐ rhinorrhoea
Influenza vaccine vs control
RR 1.17 [1.07, 1.29]6 studies · 10563 participantsModerate
Downgraded: risk of bias, imprecision
Adverse event ‐ pharyngitis
Influenza vaccine vs control
RR 1 [0.8, 1.25]3 studies · 4429 participantsModerate
Downgraded: risk of bias, imprecision