Evidence map›Paper›PMID 26506926›Full record

ReviewArchives of gynecology and obstetrics2016

Use of locally delivered dequalinium chloride in the treatment of vaginal infections: a review.

Werner Mendling, Ernst Rainer Weissenbacher, Stefan Gerber, Valdas Prasauskas, Philipp Grob

Open access · hybridAbstract readReview
In one paragraph

Review in Archives of gynecology and obstetrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Werner MendlingGerman Center for Infections in Gynecology and Obstetrics, Wuppertal, Germany. w.mendling@t-online.de.
Ernst Rainer WeissenbacherGerman Center for Infections in Gynecology and Obstetrics, Wuppertal, Germany.
Stefan GerberHospital Daler, Fribourg, Switzerland.
Valdas PrasauskasMedinova AG, Zurich, Switzerland.
Philipp GrobMedinova AG, Zurich, Switzerland.
Fribourg Development Agency · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaginal infections are responsible for a large proportion of gynaecological outpatient visits. Those are bacterial vaginosis (BV), vulvovaginal candidosis (VVC), aerobic vaginitis (AV) associated with aerobic bacteria, and mixed infections. Usual treatments show similar acceptable short-term efficacy, but frequent recurrences and increasing microbial resistance are unsolved issues. Furthermore, vaginal infections are associated with a variety of serious adverse outcomes in pregnancy and generally have a major impact on quality of life. Identifying the correct therapy can be challenging for the clinician, particularly in mixed infections.

findingsDequalinium chloride (DQC) is an anti-microbial antiseptic agent with a broad bactericidal and fungicidal activity. Systemic absorption after vaginal application of DQC is very low and systemic effects negligible. Vaginal DQC (Fluomizin vaginal tablets) has been shown to have equal clinical efficacy as clindamycin in the treatment of BV. Its broad antimicrobial activity makes it appropriate for the treatment of mixed vaginal infections and in case of uncertain diagnosis. Moreover, resistance of pathogens is unlikely due to its multiple mode of action, and vaginal DQC provides also a reduced risk for post-treatment vaginal infections.

conclusionsVaginal DQC (10 mg) as 6-day therapy offers a safe and effective option for empiric therapy of different vaginal infections in daily practice. This review summarizes the available and relevant pharmacological and clinical data for the therapy of vaginal infections with vaginal DQC and provides the rationale for its use in daily gynaecologic practice.

Indexed as

Anti-Bacterial AgentsAntifungal AgentsAnti-Infective Agents, LocalBacteriaBacteria, AerobicCandidiasis, VulvovaginalDequaliniumFemaleHumansPregnancyQuality of LifeVaginal Creams, Foams, and JelliesVaginal DiseasesVaginosis, BacterialAnti-Bacterial AgentsAntifungal AgentsAnti-Infective Agents, LocalDequaliniumVaginal Creams, Foams, and JelliesAerobic vaginitisDequalinium chlorideVaginal infectionsVaginal tabletsVulvovaginal candidosis

Identifiers

PMID26506926
PMCPMC4757629
OpenAlexW2221309063

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.