|
|
Meta-analysis of Glutaraldehyde vs Ethanol for disinfection of Penicillin skin test |
LI Xia-xi1 LIU Cui-ping1 LIU Xing-xing1 DU Meng1 FU Cai-yan2▲ |
1.Department of ICU,Zhujiang Hospital of Southern Medical University,Guangdong Province,Guagnzhou 510280,China;
2.Department of Endocrinology,Affiliated Hospital of Guangdong Medical University,Guangdong Province,Zhanjiang 524000,China |
|
|
Abstract ObjectiveTo evaluate the influence of Glutaraldehyde cleaning vs Ethanol disinfection on Penicillin skin test result in the published literatures in China.MethodsRandomized controlled trials(RCT)in Glutaraldehyde vs Ethanol applied in Penicillin skin test were searched and screened in CBM,CNKI,VIP,Wanfang,PubMed,Cohrance database and so on.The retrieval time was from database building to January,2017.The literature was screened according to the inclusion and exclusion criteria decided by the evaluation research quality.Meta-analysis was conducted using Review Manager 5.0 software.ResultsTotally 4 studies were eligible to the criteria in 113 literatures reviewed.Meta-analysis showed there was significant difference between Glutaraldehyde and Ethanol groups∶I2=0% (OR=0.16,95%CI=0.11-0.22,P<0.00001),but publication bias may exaggerate the effect of Glutaraldehyde.ConclusionGlutaraldehyde has lower false positive rate compared with Ethanol,but further studies are needed in proving whether Glutaraldehyde can replace Ethanol in penicillin skin test.The quality of the included studies is not high,the above conclusions are verified by developing more high-quality randomized double-blind controlled trials.
|
|
|
|
|
[1] |
Unger NR,Gauthier TP,Cheung LW.Penicillin skin testing:potential implications for antimicrobial stewardship[J].Pharmacotherapy,2013,33(8): 856-867.
|
[2] |
李世红,崔奇玉.不同种类消毒剂对小儿过敏试验判断标准的探讨[J].内蒙古民族大学学报(自然科学版),2010,25(6):717-718.
|
[3] |
常虹,薛永怀,刘霞.戊二醛可替代酒精做青霉素皮试的效果观察[J].实用护理杂志,2000,16(7):36-37.
|
[4] |
薛永怀,常虹,王登秀.戊二醛消毒液用于过敏试验皮肤消毒的探讨[J].护理学杂志,2000,15(1):36-37.
|
[5] |
董美,李秀贞.小儿药物过敏试验的临床观察[J].齐鲁护理杂志,2002,8(1):75.
|
[6] |
马凤霞,杜良凤.0.5%戊二醛用于过敏试验皮肤消毒[J].护理研究,2003,17(7):379.
|
[7] |
王雪芳,张春花.青霉素皮内试验方法改进[J].医药论坛杂志,2005,26(4):77-78.
|
[8] |
Whiting P,Rutjes AW,Reitsma JB,et al.The development of QUADAS:a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews[J].BMC Med Res Methodol,2003,3:25.
|
[9] |
刘代华,梁文英,欧碧云,等.青霉素皮试时间与阳性率的关系分析[J].中国药房,2013,24(34):3244-3246.
|
[10] |
王雪梅,李世英,朱屏,等.新护士青霉素皮试考核的结果分析及对策[J].西南国防医药,2012,22(12):1380-1381.
|
[11] |
王雯,李银雪,张素.青霉素皮试假阳性结果的探讨[J].中华护理杂志,1996,31(17):628.
|
[12] |
樊国斌,李素娟,沈钦华.影响青霉素皮试结果的原因分析及其对策[J].抗感染药学,2015,12(4):516-519.
|
[13] |
钟梅,江雯.三种消毒液对青霉素皮试结果影响的比较[J].华西医学,2016,31(3):572-573.
|
[14] |
吴凤琼,崔静萍,代娣,等.生理盐水替代酒精皮试消毒可行性及安全性研究[J].安徽卫生职业技术学院学报,2016,05(15):157-158.
|
[15] |
李夏西,李星,鲁玫,等.0.9%生理盐水清洁与酒精消毒用于青霉素皮肤过敏试验效果的Meta分析[J].中国实用护理杂志,2014,30(29):43-45.
|
[16] |
田志环.戊二醛消毒剂及对人体安全性的研究进展[J].环境与健康杂志,2007,24(10):842-844.
|
[17] |
Shih HY,Wu DC,Huang WT,et al.Glutaraldehyde-induced colitis:case reports and literature review[J].Kaohsiung J Med Sci,2011,27(12): 577-580.
|
|
|
|