Evidence map›Paper›PMID 28458509›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2017

Reduction in bacterial load using hypochlorous acid hygiene solution on ocular skin.

David W Stroman, Keri Mintun, Arthur B Epstein, Crystal M Brimer, Chirag R Patel, James D Branch, Kathryn Najafi-Tagol

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT05950295 completednot on this mapstarted 2020, after this paper: background citation

Intranasal Lavage With Hypochlorous Acid Safely Reduces the Symptoms in the Ambulatory Patient With COVID-19.

TypeobservationalSponsorMonique Lisa AbnerRan2020 to 2021Enrolled88ConditionsCOVID-19ArmsIntranasal lavage with hypochlorous acid solution
NCT07759180 nacompletednot on this mapstarted 2023, after this paper: background citation

A Prospective Randomized Controlled Trial of a Sterile Gauze Containing Natural Plant Extracts (Leniben®) for Eyelid Hygiene in Patients With Bilateral Anterior Blepharitis

TypeinterventionalSponsorAzienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'AragonaRan2023 to 2025Enrolled38ConditionsBlepharitisArmsPlant-Based Sterile Eyelid Gauze, Sterile Cotton Gauze Moistened with Saline Solution
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  10. Commercially available antiseptics show highFrontiers in veterinary science · 2025
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  13. Review
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  16. Review
  17. Antimicrobial resistance inVeterinary world · 2022
    Article
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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

7 authors at 3 institutions in 1 country.

David W StromanNovaBay Pharmaceuticals, Inc., Emeryville, CA.
Keri MintunNovaBay Pharmaceuticals, Inc., Emeryville, CA.
Arthur B EpsteinOphthalmic Research Consultants of Arizona, Phoenix, AZ.
Crystal M BrimerCrystal Vision Services, Wilmington, NC.
Chirag R PatelTurner Eye Institute, San Leandro, CA.
James D BranchJames D. Branch Ophthalmology, Winston Salem, NC, USA.
Kathryn Najafi-TagolNovaBay Pharmaceuticals, Inc., Emeryville, CA.
NovaBay Pharmaceuticals (United States) · USRetinal Consultants of Arizona · USTurner Eye Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the magnitude of bacterial load reduction on the surface of the periocular skin 20 minutes after application of a saline hygiene solution containing 0.01% pure hypochlorous acid (HOCl).

methodsMicrobiological specimens were collected immediately prior to applying the hygiene solution and again 20 minutes later. Total microbial colonies were counted and each unique colony morphology was processed to identify the bacterial species and to determine the susceptibility profile to 15 selected antibiotics.

resultsSpecimens were analyzed from the skin samples of 71 eyes from 36 patients. Prior to treatment, 194 unique bacterial isolates belonging to 33 different species were recovered. Twenty minutes after treatment, 138 unique bacterial isolates belonging to 26 different species were identified. Staphylococci accounted for 61% of all strains recovered and

conclusionThe application of a saline hygiene solution preserved with pure HOCl acid reduced the bacterial load significantly without altering the diversity of bacterial species remaining on the skin under the lower eyelid.

Indexed as

blepharitisCorynebacteriummicrobiomePropionibacterium acnesStaphylococcus aureusStaphylococcus epidermidis

Identifiers

PMID28458509
PMCPMC5402722
OpenAlexW2605637929

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.