Effects of photodynamic therapy in patients with infected skin ulcers: A meta-analysis

被引:2
作者
Gu, Rui [1 ]
Fei, Sha'ni [1 ]
Liu, Zhaoyu [1 ]
Liu, Xiaoqi [1 ]
Fang, Xiaoxiao [1 ]
Wu, Hengjin [1 ]
Zhang, Xia [3 ]
Xu, Guomei [2 ]
Xu, Fengquan [4 ]
机构
[1] Beijing Univ Chinese Med, Grad Sch, Beijing 100029, Peoples R China
[2] Beijing Univ, Dept Dermatol, Chinese Med Affiliated Hosp 3, Beijing 100029, Peoples R China
[3] Peking Univ, Dept Neurol, Aerosp Sch Clin Med, Beijing, Peoples R China
[4] China Acad Chinese Med Sci, Guanganmen Hosp, Dept Psychosomat, Beijing 100053, Peoples R China
关键词
infected skin wounds; photodynamic therapy; red light exposure; wound ulcer size; FOOT ULCERS; OPTIMIZATION; MANAGEMENT; DELIVERY; WOUNDS;
D O I
10.1111/iwj.14747
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The purpose of the meta-analysis was to evaluate and compare the photodynamic therapy's effectiveness in treating infected skin wounds. The results of this meta-analysis were analysed, and the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) were calculated using dichotomous or contentious random- or fixed-effect models. For the current meta-analysis, 6 examinations spanning from 2013 to 2021 were included, encompassing 154 patients with infected skin wounds were the used studies' starting point. Photodynamic therapy had a significantly lower wound ulcer size (MD, -4.42; 95% CI, -7.56--1.28, p = 0.006), better tissue repair (MD, -8.62; 95% CI, -16.76--0.48, p = 0.04) and lower microbial cell viability (OR, 0.13; 95% CI, 0.04-0.42, p < 0.001) compared with red light exposure in subjects with infected skin wounds. The examined data revealed that photodynamic therapy had a significantly lower wound ulcer size, better tissue repair and lower microbial cell viability compared with red light exposure in subjects with infected skin wounds. However, given that all examinations had a small sample size, consideration should be given to their values.
引用
收藏
页数:11
相关论文
共 67 条
[21]   Chronic Wound Healing: A Review of Current Management and Treatments [J].
Han, George ;
Ceilley, Roger .
ADVANCES IN THERAPY, 2017, 34 (03) :599-610
[22]  
Hassan A., 2016, Pulm Ther, V2, P115, DOI [10.1007/s41030-015-0010-y, DOI 10.1007/S41030-015-0010-Y]
[23]   Measuring inconsistency in meta-analyses [J].
Higgins, JPT ;
Thompson, SG ;
Deeks, JJ ;
Altman, DG .
BMJ-BRITISH MEDICAL JOURNAL, 2003, 327 (7414) :557-560
[24]   The synergistic effect of PDT and oxacillin on clinical isolates of Staphylococcus aureus [J].
Iluz, Natanel ;
Maor, Yasmin ;
Keller, Natan ;
Malik, Zvi .
LASERS IN SURGERY AND MEDICINE, 2018, 50 (05) :535-551
[25]   Light Sources and Dosimetry Techniques for Photodynamic Therapy [J].
Kim, Michele M. ;
Darafsheh, Arash .
PHOTOCHEMISTRY AND PHOTOBIOLOGY, 2020, 96 (02) :280-294
[26]   An estimate of the economic burden of venous leg ulcers associated with deep venous obstruction [J].
Kolluri, Raghu ;
Lugli, Marzia ;
Villalba, Laurencia ;
Varcoe, Ramon ;
Maleti, Oscar ;
Gallardo, Fernando ;
Black, Stephen ;
Forgues, Fannie ;
Lichtenberg, Michael ;
Hinahara, Jordan ;
Ramakrishnan, Saranya ;
Beckman, Josh .
VASCULAR MEDICINE, 2022, 27 (01) :63-72
[27]   Permeation enhancers in transdermal drug delivery: benefits and limitations [J].
Kovacik, Andrej ;
Kopecna, Monika ;
Vavrova, Katerina .
EXPERT OPINION ON DRUG DELIVERY, 2020, 17 (02) :145-156
[28]   Photodynamic Therapy for the Treatment of Infected Leg Ulcers-A Pilot Study [J].
Krupka, Magdalena ;
Bozek, Andrzej ;
Bartusik-Aebisher, Dorota ;
Cieslar, Grzegorz ;
Kawczyk-Krupka, Aleksandra .
ANTIBIOTICS-BASEL, 2021, 10 (05)
[29]   Need for Improved Definition of "Chronic Wounds" in Clinical Studies [J].
Kyaw, Bhone Myint ;
Jaerbrink, Krister ;
Martinengo, Laura ;
Car, Josip ;
Harding, Keith ;
Schmidtchen, Artur .
ACTA DERMATO-VENEREOLOGICA, 2018, 98 (01) :157-158
[30]   DEFINITIONS AND GUIDELINES FOR ASSESSMENT OF WOUNDS AND EVALUATION OF HEALING [J].
LAZARUS, GS ;
COOPER, DM ;
KNIGHTON, DR ;
MARGOLIS, DJ ;
PECORARO, RE ;
RODEHEAVER, G ;
ROBSON, MC .
ARCHIVES OF DERMATOLOGY, 1994, 130 (04) :489-493