Evidence map›Paper›PMID 16378567›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2005

Topical antibiotics for acute bacterial conjunctivitis: Cochrane systematic review and meta-analysis update.

Aziz Sheikh, Brian Hurwitz

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Antibiotics versus placebo for acute bacterial conjunctivitis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Bacterial conjunctivitis.BMJ clinical evidence · 2012
    Pooled it
  4. Bacterial conjunctivitis.BMJ clinical evidence · 2010
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Review
  12. The influence of children's day care on antibiotic seeking: a mixed methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Article
  13. Article
  14. Article
  15. Shifting trends in in vitro antibiotic susceptibilities for common bacterial conjunctival isolates in the last decade at the New York Eye and Ear Infirmary.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2011
    Article
  16. Article
  17. Patterns of eye care use and expenditures among children with diagnosed eye conditions.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2007
    Article
  18. Article
  19. Non-bacterial acute conjunctivitis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    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

2 authors at 2 institutions in 2 countries.

Aziz SheikhDivision of Community Health Sciences: GP Section, University of Edinburgh. aziz.sheikh@ed.ac.uk
Brian Hurwitz
English and Foreign Languages University · INUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUncertainty remains about the extent to which findings from our previously published systematic review and meta-analysis of double-blind, randomised controlled trials of topical antibiotics compared with placebo in the management of patients with acute bacterial conjunctivitis treated in secondary care outpatient settings are generalisable to the management of the condition in primary care settings. We updated our review, undertaking searches, methodological assessment, data extraction and analysis according to a pre-defined protocol. In addition to the previous three included studies, we identified two additional double-blind primary care trials, one which compares fusidic acid gel with placebo gel and one which compares chloramphenicol eye drops with placebo eye drops in children. Meta-analyses of clinical and microbiological remission data reveal that topical antibiotics are of benefit in improving early (days 2-5) clinical (relative risk [RR] = 1.24, 95% confidence interval [CI] = 1.05 to 1.45) and microbiological (RR = 1.77, 95% CI = 1.23 to 2.54) remission rates; later (days 6-10) data reveal that these early advantages in clinical (RR = 1.11, 95% CI = 1.02 to 1.21) and microbiological cure rates are reduced (RR 1.56, 95% CI = 1.17 to 2.09), but persist. Most cases of acute bacterial conjunctivitis resolve spontaneously. While topical antibiotics are associated with significantly improved rates of early (days 2-5) clinical remission, this benefit is marginal for later remission (days 6-10).

Indexed as

Acute DiseaseAdministration, TopicalAnti-Bacterial AgentsConjunctivitis, BacterialHumansRandomized Controlled Trials as TopicAnti-Bacterial Agents

Identifiers

PMID16378567
PMCPMC1570513
OpenAlexW1767513691

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.