Cochrane · systematic review · CD013099

Interventions for bacterial folliculitis and boils (furuncles and carbuncles)

Lin, H-S, Lin, P-T, Tsai, Y-S, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

SkinAMSTAR 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
35
current version
GRADE rated
11
No studies
23
Included studies
NR
No studies 23 · 65.7%Ungraded 1 · 2.9%Very low 4 · 11.4%Low 4 · 11.4%Moderate 3 · 8.6%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

Topical antibiotics compared to topical antiseptics for bacterial folliculitis and boils (furuncles and carbuncles)

Population: bacterial folliculitis and boils (furuncles and carbuncles)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure
Topical antibiotics vs topical antiseptics
no estimate extractedNRNo studies
Severe adverse events leading to withdrawal of treatment
Topical antibiotics vs topical antiseptics
no estimate extractedNRNo studies
Quality of life
Topical antibiotics vs topical antiseptics
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Topical antibiotics vs topical antiseptics
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment
Topical antibiotics vs topical antiseptics
no estimate extractedNRNo studies

Topical antibiotics compared to systemic antibiotics for bacterial folliculitis and boils (furuncles and carbuncles)

Population: bacterial folliculitis and boils (furuncles and carbuncles)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure
Topical antibiotics vs systemic antibiotics
no estimate extractedNRNo studies
Severe adverse events leading to withdrawal of treatment
Topical antibiotics vs systemic antibiotics
no estimate extractedNRNo studies
Quality of life
Topical antibiotics vs systemic antibiotics
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Topical antibiotics vs systemic antibiotics
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment
Topical antibiotics vs systemic antibiotics
no estimate extractedNRNo studies

Phototherapy compared to sham light for bacterial folliculitis and boils (furuncles and carbuncles)

Population: bacterial folliculitis and boils (furuncles and carbuncles)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure
Phototherapy vs sham light
no estimate extractedNRNo studies
Severe adverse events leading to withdrawal of treatment
Phototherapy vs sham light
no estimate extractedNRNo studies
Quality of life
Phototherapy vs sham light
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Phototherapy vs sham light
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment
Phototherapy vs sham light
no estimate extractedNRNo studies

Cefadroxil compared to flucloxacillin for bacterial furunculosis

Population: bacterial furunculosis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure (measured after 10 days of treatment)
Cefadroxil vs flucloxacillin
RR 0.9 [0.7, 1.16]1 study · 41 participantsVery low
Downgraded: risk of bias, imprecision
Severe adverse events leading to withdrawal of treatment (reported during 10 days of treatment)
Cefadroxil vs flucloxacillin
RR 2.97 [0.6, 14.62]1 study · 6514 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Cefadroxil vs flucloxacillin
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Cefadroxil vs flucloxacillin
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment (reported during 10 days of treatment)
Cefadroxil vs flucloxacillin
RR 0.78 [0.62, 0.98]1 study · 6514 participantsModerate
Downgraded: risk of bias

Cefdinir compared to cefalexin for bacterial folliculitis and boils (furuncles and carbuncles)

Population: bacterial folliculitis and boils (furuncles and carbuncles)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure (measured 17 to 24 days after treatment)
Cefdinir vs cefalexin
RR 1 [0.73, 1.38]1 study · 74 participantsLow
Downgraded: risk of bias, imprecision
Severe adverse events leading to withdrawal of treatment (reported during 17 to 24 days of treatment)
Cefdinir vs cefalexin
RR 1.05 [0.07, 16.62]1 study · 3912 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Cefdinir vs cefalexin
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Cefdinir vs cefalexin
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment
Cefdinir vs cefalexin
no estimate extracted391 participantsUngraded

Azithromycin compared to cefaclor for bacterial boils (furuncles and carbuncles)

Population: bacterial boils (furuncles and carbuncles)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure (measured 7 days after treatment)
Azithromycin vs cefaclor
RR 1.01 [0.72, 1.4]2 studies · 31 participantsVery low
Downgraded: risk of bias, imprecision
Severe adverse events leading to withdrawal of treatment (reported during 7 days of treatment)
Azithromycin vs cefaclor
no estimate extracted2 studies · 2744 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
Azithromycin vs cefaclor
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Azithromycin vs cefaclor
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment (reported during 7 days of treatment)
Azithromycin vs cefaclor
RR 1.26 [0.38, 4.17]2 studies · 2744 participantsVery low
Downgraded: risk of bias, imprecision

Cefditoren pivoxil compared to cefaclor for bacterial boils (furuncles and carbuncles)

Population: bacterial boils (furuncles and carbuncles)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical cure (measured after 7 days of treatment)
Cefditoren pivoxil vs cefaclor
RR 1.17 [0.77, 1.78]1 study · 93 participantsModerate
Downgraded: imprecision
Severe adverse events leading to withdrawal of treatment (reported during 7 days of treatment)
Cefditoren pivoxil vs cefaclor
RR 4.74 [0.23, 97.17]1 study · 1504 participantsLow
Downgraded: imprecision
Quality of life
Cefditoren pivoxil vs cefaclor
no estimate extractedNRNo studies
Recurrence of folliculitis or boil following completion of treatment
Cefditoren pivoxil vs cefaclor
no estimate extractedNRNo studies
Minor adverse events not leading to withdrawal of treatment (reported during 7 days of treatment)
Cefditoren pivoxil vs cefaclor
RR 1.52 [0.52, 4.42]1 study · 1504 participantsModerate
Downgraded: imprecision