Meta AnalysisID 2606

烧伤患者局部抗菌药物中乙二醇载体的毒性

CRD42016048459

What is the rate of systemic acidotic hyperosmolar toxicity among burn patients who were treated with topical glycol based antimicrobial creams and ointments

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Record Fields

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Meta Analysis Id
2606
Evidence Id
11164
Core Evidence Id
11164
Source Meta Analysis Id
2556
Herb2 Meta Analysis Id
HBMA002556
Crd Id
CRD42016048459
Title
Toxicity of glycol vehicles in topically applied antimicrobial agents for burn patients
Review Question
What is the rate of systemic acidotic hyperosmolar toxicity among burn patients who were treated with topical glycol based antimicrobial creams and ointments
Study Type Included
Study types to be included: retrospective chart review, any RCT, any cohort study, any case control and any observational study. We did not look for case reports and case series.
Condition Being Studied
The condition is the appearance of sudden systemic toxicity in a burn patient treated with a topical antimicrobial agent. Most patients suffering this unusual adverse effect are classified as septic due to acidosis and sudden clinical change. further complications include hyperosmolarity, seizures and death.
Participant
All burn (fire and heat, chemical and electricity) victims will be included, as long as the medical team decided not to preform invasive procedures (skin grafting etc..) and opted for topical antimicrobial treatment. And provided that the paper provides clear complication and mortality data
Animal
Human Disease Modelled
Intervention
All topical agents (creams, ointments etc...) that have a glycol molecule (Polyethylene glycol and/or Propylene glycol) as apart of their vehicle will be included, provided that the paper states that they were used for infection control on burn areas. We won't include invasive / surgical procedures or any medication the was prescribed for indication other than burn wound infection.
Comparator Control
Main Outcome
Rate of the reported following complications: acidosis, hyperosmolarity, seizures. blood / urine / other tissue tests confirming that the patient suffered / succumbed to (any) glycol toxicity. Measures of effect The first 3 weeks after admission to the burn unit are critical. Most responses develop within a few days.
Outcome Measure
Additional Outcome
Rate of septic episodes with and without positive culture. Mortality rate. Measures of effect The first 3 weeks after admission to the burn unit are critical. Most adverse reactions develop within a few days.
Study Method
Systematic review
Keyword
Anti-Infective Agents; Burns; Glycols; Humans
Contact
Tom Leibson [email protected]
Organisational Affiliation
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Canada
Review Stage
Review Ongoing
First Submission Date
Registration Date
2016-09-27
Anticipated Start Date
2016-07-01
Anticipated Completion Date
2016-12-31
Title Cn
烧伤患者局部抗菌药物中乙二醇载体的毒性
Title En
Toxicity of glycol vehicles in topically applied antimicrobial agents for burn patients
Bilingual Status
complete