Evidence map›Paper›PMID 40439372›Full record

Trial reportAsian Pacific journal of cancer prevention : APJCP2025

Effectivity of Topical Quinolones and Metronidazole on Cancer Ulcers in Patients with Locally Advanced Breast Cancer: A Randomized Controlled Trial.

Selamat Budijitno, Puguh Sihwidiyono, Luqman Alwi, Dwi Pudjonarko, Tri Nur Kristina, Meira Dwi Kusuma Astuti, Arrizki Azka Pratama, Sistiya Pradana Putra

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Asian Pacific journal of cancer prevention : APJCP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Selamat BudijitnoSurgical Oncologist, Department of Surgery, Medical Faculty of Diponegoro University, Semarang, Indonesia.ORCID 0000-0003-1171-5979
Puguh SihwidiyonoSurgical Oncologist, Department of Surgery, dr. Ario Wirawan Hospital, Salatiga, Indonesia.
Luqman AlwiDepartment of Surgery, Medical Faculty of Semarang State University, Semarang, Indonesia.ORCID 0009-0000-2740-3406
Dwi PudjonarkoProfessor of Neurology Department, Medical Faculty of Diponegoro University, Semarang, Indonesia.ORCID 0000-0001-9964-3484
Tri Nur KristinaProfessor of Microbiology Department, Medical Faculty of Diponegoro University, Semarang, Indonesia.ORCID 0000-0002-4336-1450
Meira Dwi Kusuma AstutiPathology Department, Medical Faculty of Diponegoro University, Semarang, Indonesia.
Arrizki Azka PratamaDepartment of Surgery, Medical Faculty of Semarang State University, Semarang, Indonesia.ORCID 0009-0004-0675-0395
Sistiya Pradana PutraDepartment of Surgery, dr. Ario Wirawan Hospital, Salatiga, Indonesia.ORCID 0009-0002-4432-6152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMalignant Fungating Wound (MFW) has a significant role in increasing quality of life. The secondary infection could cause as well as Hemorrhage, Odor, Pain, Exudate & Superficial infections (HOPES) and reduced activity. Worseness of MFW could be caused by a combination of aerobic and anaerobic bacterial infections. This study aimed to prove the effectiveness of the topical antibiotic solution toward wound repairment secondary to MFW.  Methods: This study was a pre and post-test randomized controlled trial in which inclusion and exclusion criteria were predefined. Patients who suffered locally advanced breast cancer were given chemotherapy and then randomized into the treatment group of MFW management treated with Ciprofloxacin and Metronidazole solution, and the non-treatment group treated with 0.9% NaCl. The dependent variable was the number of Colony Forming Unit (CFU) and the degree of fibrosis. Mann Whitney-U and Kendall's tau-b test was carried out to examine the difference and correlation test. Statistical significance was defined as p <0.05.

resultThe study involved 40 patients who were randomized into the treatment group dan the non-treatment group. Paired T-tests of the CFU in the non-treatment group and the treatment group are significant (p<0.001). The Mann Whitney-U test in delta CFU in both groups is significant (p<0.001). Mann Whitney-U test in the degree of fibrosis in both groups is significant (p=0.046). Kendall's tau-b correlation test shows a significant negative correlation between the CFU and the degree of fibrosis (p=0.027, r=-0.36).

conclusionThe treatment of MFW in locally advanced breast cancer treated with metronidazole and ciprofloxacin solution gives a better rate of improvement in terms of reducing the number of CFU and increasing the degree of fibrosis. This study proves that there is a significant negative correlation between a decrease in CFU and the degree of fibrosis in the treatment group.

Indexed as

Anti-Bacterial AgentsBreast NeoplasmsCiprofloxacinMetronidazoleUlcerWound HealingAdministration, TopicalAdultAgedFemaleFollow-Up StudiesHumansMiddle AgedPrognosisAnti-Bacterial AgentsCiprofloxacinMetronidazoleCFUKEYWORDS: Breast cancerMFW

Identifiers

PMID40439372
PMCPMC12290201

What OpenQuestion holds

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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.