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局部抗生素对预防和治疗伤口感染的效果:一项荟萃分析。

Effect of topical antibiotics on the prevention and management of wound infections: A meta-analysis.

机构信息

College of Traditional Chinese Medicine, Weifang Medical University, Weifang, China.

Urology Department I, Weifang Hospital of traditional Chinese Medicine, Weifang, China.

出版信息

Int Wound J. 2023 Dec;20(10):4015-4022. doi: 10.1111/iwj.14290. Epub 2023 Jul 10.

Abstract

A meta-analysis research was implemented to appraise the effect of topical antibiotics (TAs) on the prevention and management of wound infections (WIs). Inclusive literature research was performed until April 2023, and 765 interconnected researches were reviewed. The 11 selected researches included 6500 persons with uncomplicated wounds at the starting point of the research: 2724 of them were utilising TAs, 3318 were utilising placebo and 458 were utilising antiseptics. Odds ratio (OR) and 95% confidence intervals (CIs) were utilised to appraise the consequence of TAs on the prevention and management of WIs by the dichotomous approach and a fixed or random model. TAs had significantly lower WI compared with placebo (OR, 0.59; 95% CI, 0.38-0.92, p = 0.02) and compared with antiseptics (OR, 0.52; 95% CI, 0.31-0.88, p = 0.01) in persons with uncomplicated wounds (UWs). TAs had significantly lower WIs compared with placebo and antiseptics in persons with UWs. However, caution needs to be taken when interacting with their values because of the low sample size of some of the chosen researches and low number of researches found for the comparisons in the meta-analysis.

摘要

一项荟萃分析研究评估了局部抗生素(TAs)在预防和处理伤口感染(WIs)方面的效果。研究进行了全面的文献检索,截至 2023 年 4 月,共审查了 765 项相互关联的研究。11 项入选研究包括 6500 名起点为无并发症伤口的人:其中 2724 人使用 TAs,3318 人使用安慰剂,458 人使用防腐剂。采用二项式方法和固定或随机模型,使用比值比(OR)和 95%置信区间(CI)评估 TAs 对预防和处理 WIs 的影响。与安慰剂相比,TAs 可显著降低 WI(OR,0.59;95%CI,0.38-0.92,p=0.02),与防腐剂相比,也可显著降低 WI(OR,0.52;95%CI,0.31-0.88,p=0.01),在无并发症伤口(UWs)人群中。TAs 可显著降低 UWs 人群中 WI 与安慰剂和防腐剂的 WI。然而,由于某些选定研究的样本量较小,以及荟萃分析中比较的研究数量较少,在与这些值交互时需要谨慎。

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