Effect of zinc on oropharyngeal mucositis in children with acute leukemia undergoing chemotherapy
Med. oral patol. oral cir. bucal (Internet)
; 25(6): e791-e798, nov. 2020. tab, graf
Article
in English
| IBECS
| ID: ibc-197188
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
BACKGROUND:
Oropharyngeal mucositis (OM) is one of the main side-effects of oncological therapy. There is no treatment to prevent its occurrence, but some zinc-based therapies have been proven to help in decreasing its in-tensity. The objective of this study was to determine the effect of zinc in OM in children with acute leukemia in the early stages of oncological treatment. MATERIAL ANDMETHODS:
This quasi-experimental study evaluated OM in 2 groups (control group conventional hospital management, and experimental group administration of 50 mg of zinc gluconate daily plus conventional hospital management). OM severity was recorded at a two-month follow-up.RESULTS:
Forty-nine patients (26 in the control group and 23 in the experimental group) were included. The mean age of the patients was 11.1 ± 2.7 years; 65.3% had a diagnosis of pre-B acute lymphoblastic leukemia. The incidences of OM in the control group and the experimental group were 46.2% and 26.1%, respectively, but the difference was not significant. Based on a negative binomial regression model, females had, on average, 1.5 more days with OM (p = 0.002), and patients assigned to the experimental group had, on average, 2 less days with OM than the control group (p = 0.001). The pain score was higher in the control group (p = 0.0009), as was the mean score on the WHO scale (p = 0.0012).CONCLUSIONS:
Zinc facilitated a reduction in the severity and duration of OM; further studies focusing on children are needed to confirm the effects of this trace elementRESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Stomatitis
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Zinc
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Leukemia
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Gluconates
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Antineoplastic Agents
Limits:
Adolescent
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Child
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Female
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Humans
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Male
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2020
Document type:
Article
Institution/Affiliation country:
Fundación IMSS/México
/
Hospital of Pediatrics/México
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Mexican Social Security Institute/México
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National Autonomous University of Mexico/México