Evidence map›Paper›PMID 12881345›Full record

Trial reportThe British journal of ophthalmology2003

A phase III, placebo controlled clinical trial of 0.5% levofloxacin ophthalmic solution for the treatment of bacterial conjunctivitis.

D G Hwang, D J Schanzlin, M H Rotberg, G Foulks, M B Raizman, Levofloxacin Bacterial Conjunctivitis Place-controlled Study Group

Open access · bronzeAbstract readClinical TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in The British journal of ophthalmology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Antibiotics versus placebo for acute bacterial conjunctivitis.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Bacterial conjunctivitis.BMJ clinical evidence · 2012
    Pooled it
  5. Bacterial conjunctivitis.BMJ clinical evidence · 2010
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Levofloxacin/ketorolac combination versus levofloxacin alone for topically treating moderate-severe acute bacterial conjunctivitis: a randomized controlled trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Bacterial conjunctivitis.Clinical ophthalmology (Auckland, N.Z.) · 2010
    Article
  14. Article
  15. Review
  16. Conjunctivitis: A Systematic Review.Journal of ophthalmic & vision research
    Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

D G HwangDepartment of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA. dghwang@itsa.ucsf.edu
D J Schanzlin
M H Rotberg
G Foulks
M B Raizman
Levofloxacin Bacterial Conjunctivitis Place-controlled Study Group
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the efficacy and safety of levofloxacin 0.5% ophthalmic solution (Quixin) with placebo for treatment of bacterial conjunctivitis.

methodsIn this prospective, randomised, placebo controlled, double masked, multicentre study, 249 patients with bacterial conjunctivitis received either 0.5% levofloxacin (n = 126) or placebo (n = 123) for 5 days, administered every 2 hours on days 1-2, then every 4 hours on days 3-5. Cultures were obtained and signs/symptoms evaluated at baseline, interim, and final visits. The end point was the last evaluable observation. Primary microbial outcomes were based on culture results; clinical outcomes were based on resolution of cardinal signs.

results117 patients (60 levofloxacin, 57 placebo) were evaluated. Microbial eradication rates were significantly greater with levofloxacin at all time points, reaching 90% at end point. In a subgroup analysis, differences in eradication rates at end point were most pronounced in children but were also statistically significant for levofloxacin in adults. Clinical cure rates were significantly greater with levofloxacin at final visit and end point. Statistically significant differences favouring levofloxacin were measured at end point for resolution of conjunctival discharge, bulbar conjunctival injection, palpebral conjunctival injection, burning/stinging, itching, and photophobia. Adverse events were similar between groups. Safety composite scores analysed by age indicated significantly fewer children on levofloxacin experienced worsening symptoms.

conclusionsLevofloxacin 0.5% ophthalmic solution is safe and effective for treatment of bacterial conjunctivitis.

Indexed as

LevofloxacinAdolescentAdultAgedAged, 80 and overAnti-Infective AgentsChildChild, PreschoolConjunctivitis, BacterialDouble-Blind MethodFemaleHumansMaleMiddle AgedOfloxacinOphthalmic SolutionsAnti-Infective AgentsLevofloxacinOfloxacinOphthalmic Solutions

Identifiers

PMID12881345
PMCPMC1771798
OpenAlexW2026395354

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.