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Devi MV, Poornima V, Sivagnanam UT. Wound healing in second-degree burns in rats treated with silver sulfadiazine: a systematic review and meta-analysis. J Wound Care 2022; 31:S31-S45. [DOI: 10.12968/jowc.2022.31.sup4.s31] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Objective: This study aims to assess the wound healing efficacy in second-degree burns in rats treated with 1% silver sulfadiazine (SSD)—a sulfonamide antibiotic. Method: This is a systematic literature review and meta-analysis performed according to the PICO (Population, Intervention, Comparison and Outcomes) strategy. Results: The review found 100 studies in PubMed, Web of Science and other search engines. Of these, 70 studies were pre-selected after removing duplicates. After independent analysis by two reviewers, only seven studies met the inclusion criteria for meta-analysis. All studies except one showed faster wound closure by the application of silver sulfadiazine ointment. Using a random effects model, healing was faster in SSD-treated groups when compared to the control group on day 21, with a statistically significant mean difference of –2.72 days (95% confidence interval: –4.99, –0.45) between treatment and control groups (p<0.01). Conclusion: The results of this meta-analysis revealed that SSD aided in faster healing of second-degree burns.
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Affiliation(s)
- Mohan Vimala Devi
- Biological Materials Laboratory, CSIR–Central Leather Research Institute, Adyar, Chennai, India
- Department of Leather Technology, (Housed at CSIR–Central Leather Research Institute), Alagappa College of Technology, Anna University, Chennai-600020, India
| | - Velswamy Poornima
- Biological Materials Laboratory, CSIR–Central Leather Research Institute, Adyar, Chennai, India
- Department of Leather Technology, (Housed at CSIR–Central Leather Research Institute), Alagappa College of Technology, Anna University, Chennai-600020, India
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Evaluation the Healing Potential of Oleuropein on Second-Degree Burn Wounds in a Rat Model. Jundishapur J Nat Pharm Prod 2021. [DOI: 10.5812/jjnpp.114568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Skin burn is one of the most common complications throughout the world. Olive derivatives have been used for the treatment of skin lesions in Iran. Oleuropein is one of the main constituents of olive leaves. Objectives: The aim of the present study was to evaluate the healing effects of oleuropein cream on second-degree burns wounds in a rat model. Methods: This experimental study was performed on 72 male Wistar rats. Superficial second-degree burns were induced in the hairless back of the animals. Then, they were randomly divided into six equal groups. The burnt area in the first group was covered twice a day with normal saline, in the second group with eucerin, in the third group with 1% silver sulfadiazine and in the fourth-sixth groups, oleuropein cream was applied topically. To evaluate the efficacy of treatment, four rats in each group were euthanized on days 4, 9, and 14, and their skin was processed for wound contraction, glutathione (GSH) level, malondialdehyde (MDA) level, hydroxyproline (HP) content, inflammatory factors (transforming growth factor beta [TGF-β] and interleukin 6 [IL-6]), and histological examination. Results: In comparison with untreated control rats, the daily application of 5% oleuropein cream significantly increased wound contraction, HP content, and GSH level over time. Moreover, it caused a significant reduction in inflammatory factors and MDA level. Histological examination confirmed the results. Conclusions: This study indicated that oleuropein has therapeutic value in treating burn wounds and thus supports its traditional use.
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