Dressings Combined with Injection of Meglumine Antimoniate in the Treatment of Cutaneous Leishmaniasis: A Randomized Controlled Clinical Trial
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Mendeley | Further Information

{"title"=>"Dressings Combined with Injection of Meglumine Antimoniate in the Treatment of Cutaneous Leishmaniasis: A Randomized Controlled Clinical Trial", "type"=>"journal", "authors"=>[{"first_name"=>"Alireza", "last_name"=>"Khatami", "scopus_author_id"=>"23028260200"}, {"first_name"=>"Rezvan", "last_name"=>"Talaee", "scopus_author_id"=>"55776887000"}, {"first_name"=>"Makan", "last_name"=>"Rahshenas", "scopus_author_id"=>"35811053300"}, {"first_name"=>"Ali", "last_name"=>"Khamesipour", "scopus_author_id"=>"6603021692"}, {"first_name"=>"Pedram", "last_name"=>"Mehryan", "scopus_author_id"=>"55776425400"}, {"first_name"=>"Sepideh", "last_name"=>"Tehrani", "scopus_author_id"=>"57197411376"}, {"first_name"=>"Yahya", "last_name"=>"Dowlati", "scopus_author_id"=>"7003949293"}, {"first_name"=>"Alireza", "last_name"=>"Firooz", "scopus_author_id"=>"6603736410"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84879486302", "sgr"=>"84879486302", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0066123", "pmid"=>"23826087", "isbn"=>"1932-6203", "pui"=>"369200051"}, "id"=>"c17ddff8-2cdf-30fa-b353-0f9c124d94f6", "abstract"=>"BACKGROUND: Cutaneous leishmaniasis (CL) is a neglected infectious disease and a major health problem in several developing countries. Despite some reasonable explanation for their potential benefits, there is only trace evidence regarding the role of dressings in the treatment of CL.\\n\\nMETHODS: This randomized, assessor-blind, controlled, clinical trial was conducted in an endemic area for CL caused by Leishmania major in Iran to assess the efficacy of administration of weekly intralesional meglumine antimoniate (i.l.MA) either alone or combined with application of a silver or a non-silver polyester dressing on their lesions for 6 weeks. After screening of 241 patients with CL lesions, 83 eligible patients with 158 lesions were randomly allocated in three arms of the study. Eligibility criteria included parasitologically confirmed CL, age of 12 to 60 years; willingness to participate, duration of lesion<3 months, number of lesions<5, largest ulcer diameter<5 cm. Pregnant or lactating women were excluded. The primary outcome was absolute risk reduction (ARR) based on the proportion of complete healing, which was defined as more than 75% reduction in the size of the lesion compared with baseline in each group at the termination of treatment and 1 month later.\\n\\nFINDINGS: ARR (95% Confidence Interval [CI]) in i.l.MA versus i.l.MA+non-silver dressing groups was 5.98% (-7.07% to 20.25%), between i.l.MA versus i.l.MA+silver dressing groups was -0.23% (-13.53% to 14.82%), and between i.l.MA+non-silver dressing versus i.l.MA+silver dressing groups was -6.21%(-18.28% to 6.52%) after 6 weeks of treatment. ARR (95% CI) in i.l.MA versus i.l.MA+non-silver dressing groups was -2.22% (-22.12% to 18.10%), between i.l.MA versus i.l.MA+silver dressing groups was 3.64% (-15.36% to 22.82%), and between i.l.MA+non-silver dressing versus i.l.MA+silver dressing groups was 5.86% (-12.86% to 24.31%) 1 month later.\\n\\nCONCLUSION: It could not be demonstrated that the efficacy of i.l.MA was improved by either dressing.\\n\\nTRIAL REGISTRATION: Iranian Registry of Clinical Trials (IRCT.ir) IRCT138707201166N2.", "link"=>"http://www.mendeley.com/research/dressings-combined-injection-meglumine-antimoniate-treatment-cutaneous-leishmaniasis-randomized-cont-1", "reader_count"=>30, "reader_count_by_academic_status"=>{"Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>5, "Student > Master"=>4, "Other"=>2, "Student > Bachelor"=>4, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>5, "Student > Master"=>4, "Other"=>2, "Student > Bachelor"=>4, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>17, "Agricultural and Biological Sciences"=>2, "Neuroscience"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Veterinary Science and Veterinary Medicine"=>1, "Computer Science"=>2, "Immunology and Microbiology"=>2, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>17}, "Neuroscience"=>{"Neuroscience"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Spain"=>1}, "group_count"=>3}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1099457"], "description"=>"<p>ILMA  =  intralesioinal meglumine antimoniate. † 95% Confidence Interval.</p>", "links"=>[], "tags"=>["Clinical research design", "clinical trials", "dermatology", "Skin infections", "Drugs and devices", "Global health", "Infectious diseases", "neglected tropical diseases", "leishmaniasis", "Parasitic diseases", "Protozoan infections", "Non-clinical medicine", "Health care policy", "Treatment guidelines", "10", "weeks", "initiation"], "article_id"=>730254, "categories"=>["Medicine"], "users"=>["Alireza Khatami", "Rezvan Talaee", "Makan Rahshenas", "Ali Khamesipour", "Pedram Mehryan", "Sepideh Tehrani", "Yahya Dowlati", "Alireza Firooz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066123.t004", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_response_10_weeks_after_initiation_of_the_treatment_/730254", "title"=>"Clinical response 10 weeks after initiation of the treatment.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-24 03:55:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/1099453"], "description"=>"<p>Patients' disposition flow diagram (CONSORT flowchart) from day 0 to day 72 (4 weeks after termination of treatment).</p>", "links"=>[], "tags"=>["Clinical research design", "clinical trials", "dermatology", "Skin infections", "Drugs and devices", "Global health", "Infectious diseases", "neglected tropical diseases", "leishmaniasis", "Parasitic diseases", "Protozoan infections", "Non-clinical medicine", "Health care policy", "Treatment guidelines", "disposition", "diagram", "72", "weeks", "termination"], "article_id"=>730250, "categories"=>["Medicine"], "users"=>["Alireza Khatami", "Rezvan Talaee", "Makan Rahshenas", "Ali Khamesipour", "Pedram Mehryan", "Sepideh Tehrani", "Yahya Dowlati", "Alireza Firooz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066123.g001", "stats"=>{"downloads"=>2, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patients_disposition_flow_diagram_CONSORT_flowchart_from_day_0_to_day_72_4_weeks_after_termination_of_treatment_/730250", "title"=>"Patients' disposition flow diagram (CONSORT flowchart) from day 0 to day 72 (4 weeks after termination of treatment).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-24 03:55:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/1099462", "https://ndownloader.figshare.com/files/1099466", "https://ndownloader.figshare.com/files/1099468", "https://ndownloader.figshare.com/files/1099473"], "description"=>"<div><p>Background</p><p>Cutaneous leishmaniasis (CL) is a neglected infectious disease and a major health problem in several developing countries. Despite some reasonable explanation for their potential benefits, there is only trace evidence regarding the role of dressings in the treatment of CL.</p><p>Methods</p><p>This randomized, assessor-blind, controlled, clinical trial was conducted in an endemic area for CL caused by <i>Leishmania major</i> in Iran to assess the efficacy of administration of weekly intralesional meglumine antimoniate (i.l.MA) either alone or combined with application of a silver or a non-silver polyester dressing on their lesions for 6 weeks. After screening of 241 patients with CL lesions, 83 eligible patients with 158 lesions were randomly allocated in three arms of the study. Eligibility criteria included parasitologically confirmed CL, age of 12 to 60 years; willingness to participate, duration of lesion<3 months, number of lesions<5, largest ulcer diameter<5 cm. Pregnant or lactating women were excluded. The primary outcome was absolute risk reduction (ARR) based on the proportion of complete healing, which was defined as more than 75% reduction in the size of the lesion compared with baseline in each group at the termination of treatment and 1 month later.</p><p>Findings</p><p>ARR (95% Confidence Interval [CI]) in i.l.MA versus i.l.MA+non-silver dressing groups was 5.98% (−7.07% to 20.25%), between i.l.MA versus i.l.MA+silver dressing groups was −0.23% (−13.53% to 14.82%), and between i.l.MA+non-silver dressing versus i.l.MA+silver dressing groups was −6.21%(−18.28% to 6.52%) after 6 weeks of treatment. ARR (95% CI) in i.l.MA versus i.l.MA+non-silver dressing groups was −2.22% (−22.12% to 18.10%), between i.l.MA versus i.l.MA+silver dressing groups was 3.64% (−15.36% to 22.82%), and between i.l.MA+non-silver dressing versus i.l.MA+silver dressing groups was 5.86% (−12.86% to 24.31%) 1 month later.</p><p>Conclusion</p><p>It could not be demonstrated that the efficacy of i.l.MA was improved by either dressing.</p><p>Trial Registration</p><p>Iranian Registry of Clinical Trials (IRCT.ir) <a href=\"http://tinyurl.com/mvuj8ms\" target=\"_blank\">IRCT138707201166N2</a>.</p></div>", "links"=>[], "tags"=>["Clinical research design", "clinical trials", "dermatology", "Skin infections", "Drugs and devices", "Global health", "Infectious diseases", "neglected tropical diseases", "leishmaniasis", "Parasitic diseases", "Protozoan infections", "Non-clinical medicine", "Health care policy", "Treatment guidelines", "injection", "meglumine", "antimoniate", "cutaneous", "randomized", "controlled"], "article_id"=>730259, "categories"=>["Medicine"], "users"=>["Alireza Khatami", "Rezvan Talaee", "Makan Rahshenas", "Ali Khamesipour", "Pedram Mehryan", "Sepideh Tehrani", "Yahya Dowlati", "Alireza Firooz"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066123.s001", "https://dx.doi.org/10.1371/journal.pone.0066123.s002", "https://dx.doi.org/10.1371/journal.pone.0066123.s003", "https://dx.doi.org/10.1371/journal.pone.0066123.s004"], "stats"=>{"downloads"=>10, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Dressings_Combined_with_Injection_of_Meglumine_Antimoniate_in_the_Treatment_of_Cutaneous_Leishmaniasis_A_Randomized_Controlled_Clinical_Trial_/730259", "title"=>"Dressings Combined with Injection of Meglumine Antimoniate in the Treatment of Cutaneous Leishmaniasis: A Randomized Controlled Clinical Trial", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-06-24 03:55:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/1099461"], "description"=>"*<p>ILMA  =  intralesioinal meglumine antimoniate. † 95% Confidence Interval.</p>", "links"=>[], "tags"=>["Clinical research design", "clinical trials", "dermatology", "Skin infections", "Drugs and devices", "Global health", "Infectious diseases", "neglected tropical diseases", "leishmaniasis", "Parasitic diseases", "Protozoan infections", "Non-clinical medicine", "Health care policy", "Treatment guidelines", "weeks", "initiation"], "article_id"=>730258, "categories"=>["Medicine"], "users"=>["Alireza Khatami", "Rezvan Talaee", "Makan Rahshenas", "Ali Khamesipour", "Pedram Mehryan", "Sepideh Tehrani", "Yahya Dowlati", "Alireza Firooz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066123.t003", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_response_6_weeks_after_initiation_of_the_treatment_/730258", "title"=>"Clinical response 6 weeks after initiation of the treatment.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-24 03:55:18"}

PMC Usage Stats | Further Information

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[269, 466, 588, 697, 800, 896, 988, 1076, 1165, 1254, 1340, 1417]}, {"subject_area"=>"/Biology and life sciences/Organisms", "average_usage"=>[281, 484, 611, 728, 835, 934, 1030, 1123, 1214, 1299, 1383, 1464]}, {"subject_area"=>"/Biology and life sciences/Veterinary science", "average_usage"=>[313, 571, 709, 825, 944, 1048, 1145, 1261, 1354, 1434, 1524, 1599, 1684]}, {"subject_area"=>"/Medicine and health sciences", "average_usage"=>[264, 460, 584, 692, 794, 887, 978, 1067, 1154, 1241, 1328, 1408, 1474]}, {"subject_area"=>"/Medicine and health sciences/Parasitic diseases", "average_usage"=>[320, 619, 774, 903, 1012, 1118, 1224, 1333, 1442, 1518, 1600, 1702, 1779]}, {"subject_area"=>"/People and places", "average_usage"=>[270, 456, 573, 676, 773, 867, 955, 1037, 1120, 1205, 1286, 1363, 1436]}, {"subject_area"=>"/Physical sciences", "average_usage"=>[254, 431, 547, 651, 748, 842, 932, 1017, 1098, 1178, 1259, 1336, 1404]}, {"subject_area"=>"/Physical sciences/Materials science", "average_usage"=>[250, 417, 535, 649, 758, 857, 952, 1036, 1113, 1206, 1287, 1353, 1429]}]}
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