Evidence map›Paper›PMID 28514947›Full record

ArticleBMC infectious diseases2017

Enhanced chlorhexidine skin penetration with 1,8-cineole.

A L Casey, T J Karpanen, B R Conway, T Worthington, P Nightingale, R Waters, T S J Elliott

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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 4 institutions in 1 country.

A L CaseyDepartment of Clinical Microbiology, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, B15 2WB, Birmingham, UK.
T J KarpanenDepartment of Clinical Microbiology, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, B15 2WB, Birmingham, UK.
B R ConwayDepartment of Pharmacy, University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK.
T WorthingtonSchool of Life and Health Sciences, Aston University, B4 7ET, Birmingham, UK.
P NightingaleWolfson Computer Laboratory, University Hospitals Birmingham NHS Foundation Trust, B15 2TH, Birmingham, UK.
R WatersDepartment of Burns and Plastics, University Hospitals Birmingham NHS Foundation Trust, B15 2WB, Birmingham, UK.
T S J ElliottDepartment of Clinical Microbiology, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, B15 2WB, Birmingham, UK. tom.elliott@uhb.nhs.uk.
University Hospitals Birmingham NHS Foundation Trust · GBAston University · GBUniversity of Birmingham · GBUniversity of Huddersfield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChlorhexidine (CHG) penetrates poorly into skin. The purpose of this study was to compare the depth of CHG skin permeation from solutions containing either 2% (w/v) CHG and 70% (v/v) isopropyl alcohol (IPA) or 2% (w/v) CHG, 70% (v/v) IPA and 2% (v/v) 1,8-cineole.

methodsAn ex-vivo study using Franz diffusion cells was carried out. Full thickness human skin was mounted onto the cells and a CHG solution, with or without 2% (v/v) 1,8-cineole was applied to the skin surface. After twenty-four hours the skin was sectioned horizontally in 100 μm slices to a depth of 2000 μm and the concentration of CHG in each section quantified using high performance liquid chromatography (HPLC). The data were analysed with repeated measures analysis of variance.

resultsThe concentration of CHG in the skin on average was significantly higher (33.3% [95%, CI 1.5% - 74.9%]) when a CHG solution which contained 1,8-cineole was applied to the skin compared to a CHG solution which did not contain this terpene (P = 0.042).

conclusionsEnhanced delivery of CHG can be achieved in the presence of 1,8-cineole, which is the major component of eucalyptus oil. This may reduce the numbers of microorganisms located in the deeper layers of the skin which potentially could decrease the risk of surgical site infection.

Indexed as

2-PropanolAnti-Infective Agents, LocalChlorhexidineCyclohexanolsEucalyptolFemaleHumansMiddle AgedMonoterpenesSkin AbsorptionSolutions2-PropanolAnti-Infective Agents, LocalChlorhexidineCyclohexanolsEucalyptolMonoterpenesSolutionsAntiseptic penetrationSkin antisepsisTerpene

Identifiers

PMID28514947
PMCPMC5436417
OpenAlexW2616353506

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.