Universidade de Brasilia, Departamento de Farmacia, Brasilia, DF Brazil.
Universidade de Brasilia, Departamento de Odontologia, Brasília, DF, Brazil.
Acta Odontol Latinoam. 2024 Apr;37(1):13-24. doi: 10.54589/aol.37/1/13.
Cold sores require Healthcare professionals to employ specific approaches for prevention and management, with the need for effective therapeutic guidelines and ongoing improvement in patient care.
To evalúate the methodological quality of Clinical Guidelines (CG), clinical guides and manuals for care of the population affected by herpes labialis, to verify their compliance with evidence-based health standards.
A search was conducted for CG on labial herpes in the MedicalLiteratureAnalysis andRetrieval System Online (Medline) database, Google Scholar, Brazilian Virtual Health Library (BVS), and sites of institutions/professional categories, using the descriptors "herpes labialis" or "oral herpes". Document quality was assessed using the Appraisal of Guidelines for Research & Evaluation Instrument (AGREE II). The Kappa test was used to avoid randomness or poor agreement between results.
Analysis of the 12 selected publications on the management of labial herpes revealed flaws in quality, as the publications did not follow a quality standard. The main quality flaws identified were in "rigor in development" and "applicability. ".
Priorities need to be redefined in the development of CG for clinical practice related to fever blisters to reduce the variability of the quality standard, and generate reliable, applicable recommendations.
评估针对唇疱疹患者人群护理的临床指南（CG）、临床指南和护理手册的方法学质量，以验证其是否符合循证卫生标准。
在 Medline 数据库、Google Scholar、巴西虚拟健康图书馆（BVS）和机构/专业类别网站上，使用“唇疱疹”或“口腔疱疹”的描述词，搜索有关唇疱疹的 CG。使用评估研究和评估工具（AGREE II）评估文档质量。使用 Kappa 检验避免结果的随机性或一致性差。
对 12 篇关于唇疱疹管理的选定出版物进行分析后发现，这些出版物在质量上存在缺陷，并未遵循质量标准。确定的主要质量缺陷是“制定的严谨性”和“适用性”。
需要重新定义与发热性疱疹相关的 CG 制定的优先级，以降低质量标准的可变性，并生成可靠、适用的建议。
