Cochrane · systematic review · CD011684

Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Venekamp, RP, Javed, F, van Dongen, TMA, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

ENTAMSTAR 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
9
current version
GRADE rated
8
No studies
1
Included studies
NR
No studies 1 · 11.1%Ungraded 0 · 0%Very low 1 · 11.1%Low 4 · 44.4%Moderate 3 · 33.3%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

Antibiotic eardrops (with or without a corticosteroid) versus oral antibiotics in children with grommets (ventilation tubes) who develop ear discharge beyond the immediate postoperative period

9 questions
OutcomeEffectEvidenceStatus / GRADE
Resolution of ear discharge at short‐term
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
RR 2.58 [1.27, 5.22]1 study · 42 participantsModerate
Downgraded: imprecision
Adverse events
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
RR 0.37 [0.12, 1.09]3 studies · 705 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Serious complications
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
no estimate extracted1 study · 153 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Resolution of ear discharge at intermediate‐term
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
RR 1.7 [1.38, 2.08]1 study · 153 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Duration of ear discharge
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
no estimate extracted2 studies · 232 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Tube blockage
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
RR 1.2 [0.33, 4.45]2 studies · 121 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Health‐related quality of life
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
no estimate extractedNRNo studies
Generic ‐ CHQ
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
no estimate extracted1 study · 153 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Disease‐specific ‐ OM‐6 (range 6 to 42)
Antibiotic eardrops (with or without a corticosteroid) vs oral antibiotics
no estimate extracted1 study · 153 participantsLow
Downgraded: risk of bias, imprecision, inconsistency