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. 2023 Mar 13;2023(3):CD001211. doi: 10.1002/14651858.CD001211.pub4

Comparison 2. Antibiotics vs placebo ‐ sensitivity analysis and post hoc subgroup analysis.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Clinical cure at end of therapy ‐ mITT population, excluding trials of high risk bias 10 2832 Risk Ratio (M‐H, Random, 95% CI) 1.29 [1.21, 1.38]
2.1.1 Low risk of bias 2 496 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.96, 1.38]
2.1.2 Some concerns 8 2336 Risk Ratio (M‐H, Random, 95% CI) 1.32 [1.23, 1.42]
2.2 Microbiological efficacy at end of therapy ‐ mITT population, excluding age < 1 month or no reporting of age limit 9 2650 Risk Ratio (M‐H, Random, 95% CI) 1.48 [1.30, 1.67]
2.2.1 Minimum age: 18 years 2 193 Risk Ratio (M‐H, Random, 95% CI) 1.82 [1.33, 2.49]
2.2.2 Minimum age: one year 6 1610 Risk Ratio (M‐H, Random, 95% CI) 1.48 [1.25, 1.76]
2.2.3 Minimum age: one month 1 847 Risk Ratio (M‐H, Random, 95% CI) 1.33 [1.20, 1.47]
2.3 Clinical cure at test of cure ‐ mITT population, excluding Karpecki 2009 4 681 Risk Ratio (M‐H, Random, 95% CI) 1.22 [1.04, 1.42]
2.3.1 Fluoroquinolone 2 166 Risk Ratio (M‐H, Random, 95% CI) 1.35 [1.11, 1.65]
2.3.2 Non‐fluoroquinolone 2 515 Risk Ratio (M‐H, Random, 95% CI) 1.14 [0.94, 1.39]
2.4 Microbiological efficacy at test of cure ‐ mITT population, excluding Karpecki 2009 11 2177 Risk Ratio (M‐H, Random, 95% CI) 1.38 [1.26, 1.51]
2.4.1 Fluoroquinolone 9 1861 Risk Ratio (M‐H, Random, 95% CI) 1.36 [1.24, 1.50]
2.4.2 Non‐fluoroquinolone 2 316 Risk Ratio (M‐H, Random, 95% CI) 1.52 [1.20, 1.93]
2.5 Persistent clinical infection, excluding Karpecki 2009 18 5164 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.64, 0.80]
2.5.1 Fluoroquinolone 13 4171 Risk Ratio (M‐H, Random, 95% CI) 0.74 [0.65, 0.84]
2.5.2 Non‐fluoroquinolone 5 993 Risk Ratio (M‐H, Random, 95% CI) 0.65 [0.52, 0.82]
2.6 Treatment‐related ocular adverse events ‐ rate ratio, excluding Karpecki 2009 8   Rate Ratio (IV, Random, 95% CI) 1.12 [0.76, 1.64]
2.6.1 Non‐fluoroquinolone 1   Rate Ratio (IV, Random, 95% CI) 5.25 [0.61, 44.93]
2.6.2 Fluoroquinolone 7   Rate Ratio (IV, Random, 95% CI) 1.07 [0.73, 1.55]
2.7 Treatment‐related ocular adverse events ‐ risk ratio, excluding Comstock 2012 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.7.1 Fluoroquinolone 4 3455 Risk Ratio (M‐H, Random, 95% CI) 0.70 [0.54, 0.90]
2.7.2 Non‐fluoroquinolone 2 489 Risk Ratio (M‐H, Random, 95% CI) 4.23 [1.33, 13.46]
2.8 Treatment‐related ocular adverse events ‐ rate difference per 1000 person‐days, excluding Comstock 2012 10   Rate difference (IV, Random, 95% CI) 1.17 [‐1.73, 4.07]
2.8.1 Non‐fluoroquinolone 2   Rate difference (IV, Random, 95% CI) 2.60 [‐0.17, 5.37]
2.8.2 Fluoroquinolone 8   Rate difference (IV, Random, 95% CI) 0.11 [‐4.39, 4.60]