Evidence map›Paper›PMID 36705928›Full record

ArticleTranslational vision science & technology2023

Local Ugandan Production of Stable 0.2% Chlorhexidine Eye Drops.

Christina A R Picken, Steve Brocchini, Matthew J Burton, George Blundell-Hunter, Dan Kuguminkiriza, Harparkash Kaur, Jeremy J Hoffman, Simon Arunga, Abeer H A Mohamed-Ahmed

Open access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. How to prepare chlorhexidine eye drops.Community eye health · 2023
    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

9 authors at 3 institutions in 2 countries.

Christina A R PickenSchool of Pharmacy, University College London, London, UK.
Steve BrocchiniSchool of Pharmacy, University College London, London, UK.
Matthew J BurtonClinical Research, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
George Blundell-HunterSchool of Pharmacy, University College London, London, UK.
Dan KuguminkirizaEye Drop Production Unit, Ruharo Eye Centre, Ruharu Mission Hospital, Mbarara, Uganda.
Harparkash KaurClinical Research, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
Jeremy J HoffmanClinical Research, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
Simon ArungaClinical Research, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
Abeer H A Mohamed-AhmedClinical Research, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBUniversity College London · GBMbarara University of Science and Technology · UG

Funding

Wellcome TrustWellcome Trust 207472/Z/17/Z
6 · The paper itself

Abstract

Purpose: The purpose of this study was to develop a protocol to prepare buffered chlorhexidine (CHX) eye drops (0.2% w/v) in the United Kingdom that can be reproduced at a production facility in Uganda. Buffered CHX eye drops can prevent CHX degradation and improve ocular tolerability during the treatment of fungal keratitis. Methods: Buffered CHX eye drops in amber glass containers were prepared using sodium acetate buffer at pH 5.90 to 6.75. Two commercial CHX solutions and CHX in water were used as controls. Eye drops were stored at 40°C (70% humidity, 21 months) in the United Kingdom and at ambient temperature in Uganda (30 months). High-performance liquid chromatography was used to determine CHX stability over time, and pH was monitored. Sterility was achieved using an autoclave (121°C, 15 minutes) and water bath (100°C, 30 minutes). Results: The pH of acetate-buffered CHX eye drops did not change over 21 months at 40°C or at ambient temperature (30 months), whereas the pH of the unbuffered aqueous CHX displayed significant fluctuations, with an increase in acidity. The CHX concentration remained the same in both buffered and unbuffered eye-drop solutions. Eye drops sterilization was successful using an autoclave and a water bath. Conclusions: Stable, sterile, buffered CHX eye drops (pH 6.75) were successfully prepared first in the United Kingdom and then reproducibly in Uganda. This eye drops can be prepared in a hospital or pharmacy setting with limited resources, thus providing a cost-effective treatment for fungal keratitis. Translational Relevance: A protocol has been developed to prepare buffered CHX eye drops in low- and middle-income countries to treat fungal keratitis.

Indexed as

ChlorhexidineKeratitisHumansOphthalmic SolutionsUgandaChlorhexidineOphthalmic Solutions

Identifiers

PMID36705928
PMCPMC9896845
OpenAlexW4318240426

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.