PMID- 31850176 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2222-3959 (Print) IS - 2227-4898 (Electronic) IS - 2222-3959 (Linking) VI - 12 IP - 12 DP - 2019 TI - Treating with besifloxacin for acute bacterial conjunctivitis: a Meta-analysis. PG - 1898-1907 LID - 10.18240/ijo.2019.12.13 [doi] AB - AIM: To evaluate the relative efficacy and safety of besifloxacin for treatment of acute bacterial conjunctivitis. METHODS: A comprehensive search in PubMed, EMBASE Web of Science, Cochrane Central Database and CNKI was undertaken for randomized controlled trials (RCTs) comparing besifloxacin with other treatments or placebo. The primary outcome measures were clinical resolution, rates of bacterial eradication, individual clinical outcomes, cure rates, and bacterial eradication rates of different kinds of pathogens. Safety outcomes were the number of adverse effects (AEs). The final search was performed on August 2018. RESULTS: Six RCTs were included. Four studies compared the efficacy and safety of besifloxacin with placebo, 1 study compared besifloxacin with moxifloxacin, and 1 study compared besifloxacin with gatifloxacin. A total of 2780 patients met the inclusion criteria. Besifloxacin presented higher efficacy and safety than did placebo in clinical resolution, rates of bacterial eradication, individual clinical outcomes, cure rates, bacterial eradication rates of different kinds of pathogens and the number of AEs. There was no significant difference between besifloxacin and moxifloxacin or gatifloxacin in the comparison items mentioned above. CONCLUSION: Besifloxacin is highly effective and safe for treatment of acute bacterial conjunctivitis. Further comparative trials regarding the effect of besifloxacin for treatment of acute bacterial conjunctivitis will aid in treatment decisions. CI - International Journal of Ophthalmology Press. FAU - Wang, Jun-Jie AU - Wang JJ AD - Changzhi Medical College, Changzhi 046000, Shanxi Province, China. FAU - Gao, Xin-Yi AU - Gao XY AD - Shaanxi Ophthalmic Medical Center, Xi'an No.4 Hospital, Affiliated Guangren Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China. FAU - Li, Hong-Zhuo AU - Li HZ AD - Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi Province, China. FAU - Du, Shan-Shuang AU - Du SS AD - Shaanxi Ophthalmic Medical Center, Xi'an No.4 Hospital, Affiliated Guangren Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China. LA - eng PT - Journal Article DEP - 20191218 PL - China TA - Int J Ophthalmol JT - International journal of ophthalmology JID - 101553860 PMC - PMC6901884 OTO - NOTNLM OT - Meta-analysis OT - acute bacterial conjunctivitis OT - besifloxacin OT - randomized controlled trials EDAT- 2019/12/19 06:00 MHDA- 2019/12/19 06:01 PMCR- 2019/12/18 CRDT- 2019/12/19 06:00 PHST- 2018/08/18 00:00 [received] PHST- 2019/09/25 00:00 [accepted] PHST- 2019/12/19 06:00 [entrez] PHST- 2019/12/19 06:00 [pubmed] PHST- 2019/12/19 06:01 [medline] PHST- 2019/12/18 00:00 [pmc-release] AID - ijo-12-12-1898 [pii] AID - 10.18240/ijo.2019.12.13 [doi] PST - epublish SO - Int J Ophthalmol. 2019 Dec 18;12(12):1898-1907. doi: 10.18240/ijo.2019.12.13. eCollection 2019.