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. 2011 May 17;2011:0301.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Symptoms of AOM

Systematic review
5093 children aged between 4 weeks and 15 years
16 RCTs in this analysis
Treatment failure 1 month or less
486/2376 (20%) with short-course antibiotics (<7 days)
475/2717 (17%) with longer-course antibiotics (8–10 days)

OR 1.34
95% CI 1.15 to 1.55
P = 0.0001
Small effect size longer-course antibiotics

Systematic review
3932 children aged between 4 weeks and 15 years
11 RCTs in this analysis
Treatment failure 8 to 19 days
340/1892 (18%) with short-course antibiotics (<7 days)
293/2040 (14%) with longer-course antibiotics (8–10 days)

OR 1.37
95% CI 1.15 to 1.64
P = 0.0004
Small effect size longer-course antibiotics

Systematic review
2475 children aged between 4 weeks and 15 years
9 RCTs in this analysis
Treatment failure 20 to 30 days
238/1141 (21%) with short-course antibiotics (<7 days)
271/1335 (20%) with longer-course antibiotics (8–10 days)

OR 1.16
95% CI 0.94 to 1.42
Not significant

Systematic review
2068 children aged between 4 weeks and 15 years
7 RCTs in this analysis
Treatment failure 3 months or less
391/973 (40%) with short-course antibiotics (<7 days)
399/1095 (36%) with longer-course antibiotics (8–10 days)

OR 1.18
95% CI 0.98 to 1.41
Not significant

Systematic review
570 children aged between 4 weeks and 2 years
5 RCTs in this analysis
Treatment failure 1 month or less
99/296 (33%) with short-course antibiotics (<7 days)
85/274 (31%) with longer-course antibiotics (8–10 days)

OR 1.09
95% CI 0.76 to 1.57
Not significant

Systematic review
1064 children aged between 2 years and 15 years
6 RCTs in this analysis
Treatment failure 1 month or less
74/530 (14%) with short-course antibiotics (<7 days)
86/534 (16%) with longer-course antibiotics (8–10 days)

OR 0.85
95% CI 0.60 to 1.21
Not significant