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. 2010 Aug 3;2010:0510.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Clinical cure rate

Systematic review
936 people with otitis externa
3 RCTs in this analysis
Clinical cure rate 14 to 28 days
with topical quinolone antibiotics
with topical non-quinolone antibiotics
Absolute results not reported

Absolute rate difference 0.04
95% CI –0.01 to +0.08
P = 0.145
Only one RCT included in the meta-analysis compared topical quinolone alone versus topical non-quinolone alone, which may affect the generalisability of these results (see further information on studies for more details)
Not significant

RCT
601 people with any severity of acute diffuse otitis externa on otoscopy in a primary-care setting Clinical cure rate 1 month
215/242 (89%) with ofloxacin
206/232 (89%) with neomycin–hydrocortisone–polymyxin B drops

P = 0.86
Not significant
Microbiological cure rate

RCT
601 people with any severity of acute diffuse otitis externa on otoscopy in a primary-care setting Microbiological cure rate 1 month
85/93 (91%) with ofloxacin
97/103 (94%) with neomycin–hydrocortisone–polymyxin B drops

P = 0.77
Not significant
Resolution

RCT
55 people with moderate–severe acute or chronic diffuse otitis externa on otoscopy, in a secondary-care setting Resolution 1 month or until resolution of all symptoms and signs
27/34 (79%) with triamcinolone–neomycin
10/21 (48%) with hydrocortisone–neomycin–polymyxin B

P <0.01
Effect size not calculated triamcinolone–neomycin