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An. bras. dermatol ; 94(2): 204-210, Mar.-Apr. 2019. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1001128

Résumé

Abstract This study aims to evaluate tissue healing efficacy in burn patients treated with 1% silver sulfadiazine versus other treatments. This is a systematic literature review and meta-analysis of randomized clinical trials performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) and PICO strategy, registered in the International Prospective Register of Systematic Reviews (PROSPERO) under the number CRD42017081057. The review found 71 studies in MEDLINE/Pubmed, 1 in Clinical Trials, 19 in the Cochrane Library, and 4 in LILACS in five manual searches. Of these, 81 studies were pre-selected. After independent analysis by two reviewers, only 11 studies met the inclusion criteria for the review. All studies (n = 11) using alternative treatments to silver sulfadiazine were shown to be superior in the mean time for complete wound healing, with statistically significant differences between experimental and control groups (p <0.00001); mean difference (- 4.26), 95% CI [- 5.96, - 2.56].


Sujets)
Humains , Sulfadiazine d'argent/usage thérapeutique , Cicatrisation de plaie/effets des médicaments et des substances chimiques , Brûlures/traitement médicamenteux , Anti-infectieux locaux/usage thérapeutique , Sulfadiazine d'argent/pharmacologie , Facteurs temps , Essais contrôlés randomisés comme sujet , Résultat thérapeutique , Hospitalisation , Anti-infectieux locaux/pharmacologie
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