ReviewCanadian family physician Medecin de famille canadien2009
Evidence-based treatment of acute infective conjunctivitis: Breaking the cycle of antibiotic prescribing.
Review in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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.
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.
Who cites it
16 citing papers in PubMed, 40 citations in OpenAlex.
- Efficacy and tolerability of polyvinylpyrrolidone-iodine 0.6% treatment in adenoviral keratoconjunctivitis: a Prospective Randomized Controlled Study.Eye (London, England) · 2022Trial
- The Rising Challenge: Addressing the Pink Eye (Acute Conjunctivitis) Outbreak in Pakistan.Archives of Iranian medicine · 2024Article
- Broad-Spectrum Antimicrobial Activity of Oftasecur and Visuprime Ophthalmic Solutions.Microorganisms · 2023Article
- Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium.Drug, healthcare and patient safety · 2021Article
- Pharmacist Compliance With Therapeutic Guidelines on Diagnosis and Treatment Provision.JAMA network open · 2019Article
- Epidemiology and molecular diagnosis of acute conjunctivitis in patients attending Hamadan, west Iran ophthalmology clinics 2016-2017.Clinical optometry · 2019Article
- A randomized controlled trial of povidone-iodine/dexamethasone ophthalmic suspension for acute viral conjunctivitis.Clinical ophthalmology (Auckland, N.Z.) · 2019Article
- Paediatric Virology: A rapidly increasing educational challenge.Experimental and therapeutic medicine · 2017Article
- Clinical and public health management of conjunctivitis in the Israel Defense Forces.Disaster and military medicine · 2015Article
- Knowledge and Awareness of Eye Flu among the Dentists and Dental Auxiliaries of Udaipur City, Rajasthan.International journal of preventive medicine · 2014Article
- Besifloxacin ophthalmic suspension: emerging evidence of its therapeutic value in bacterial conjunctivitis.Ophthalmology and eye diseases · 2011Article
- Treatment of conjunctivitis.Canadian family physician Medecin de famille canadien · 2010Article
- Antibiotics for acute conjunctivitis.Canadian family physician Medecin de famille canadien · 2010Article
- Preaching to the choir.Canadian family physician Medecin de famille canadien · 2010Article
- [Associated factors and types of eye injuries occurring in dentistry practice: systematic review].Revista cientifica odontologica (Universidad Cientifica del Sur)Review
- Clinical Features and Epidemiological Insights of Acute Epidemic Conjunctivitis: A Multicentric Cross-Sectional Study in North Central India.Romanian journal of ophthalmologyObservational
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo discover the best treatments for acute infective conjunctivitis and to discern whether antibiotics are necessary for the resolution of bacterial conjunctivitis in particular. QUALITY OF EVIDENCE: MEDLINE, EMBASE, and the Cochrane Database of Systematic reviews were searched. Findings were limited to full-text articles from core clinical journals in the English language, and are based on level I or level II evidence. Clinical Evidence was also searched, from which moderate-quality results have been cited. MAIN MESSAGE: Infective conjunctivitis should be managed conservatively, with antibiotics prescribed either after a delayed period if symptoms do not improve within 3 days of onset, or not at all. This approach helps to prevent the medicalization of the condition (reducing consultations for future occurrences) and discourages the unnecessary use of antibiotics, which might delay diagnosis of other serious red eye conditions. Physicians and patients should be educated on the self-limiting nature of the condition to increase compliance with conservative treatment and change the management expectations of parents and schools.
conclusionAcute infective conjunctivitis is the most common ocular complaint dealt with in family practice; its viral and bacterial etiologies are difficult to distinguish on clinical grounds alone. Evidence suggests that properly educating patients with written information materials is the most effective way to manage this simple ailment and increase patient satisfaction.
Indexed as
Identifiers
19910590PMC2776793W2125931009What OpenQuestion holds
Registered trials
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.