Cochrane · systematic review · CD005067

Interventions for Old World cutaneous leishmaniasis

Heras‐Mosteiro, J, Monge‐Maillo, B, Pinart, M, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Skin2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
6
No studies
4
Included studies
NR
No studies 4 · 40%Ungraded 0 · 0%Very low 6 · 60%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Itraconazole (200 mg for 6 to 8 weeks) versus placebo for Old World cutaneous leishmaniasis

Population: patients with Old World cutaneous leishmaniasis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Percentage of lesions cured after the end of treatment
Itraconazole (200 mg for 6 to 8 weeks) vs placebo
no estimate extractedNRNo studies
Percentage of participants with complete cure
Itraconazole (200 mg for 6 to 8 weeks) vs placebo
RR 3.7 [0.35, 38.99]3 studies · 244 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse effects Mild abdominal pain and nausea Adverse effects Mild abnormal liver function
Itraconazole (200 mg for 6 to 8 weeks) vs placebo
RR 2.36 [0.74, 7.47]3 studies · 204 participantsVery low
Downgraded: risk of bias, imprecision
Speed of healing (time taken to be 'cured')
Itraconazole (200 mg for 6 to 8 weeks) vs placebo
no estimate extractedNRNo studies
Microbiological or histopathological cure of skin lesions
Itraconazole (200 mg for 6 to 8 weeks) vs placebo
RR 17 [0.47, 612.21]1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision

Paromomycin ointment versus vehicle for Old World cutaneous leishmaniasis

Population: patients with Old World cutaneous leishmaniasis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Percentage of lesions cured after the end of treatment
Paromomycin ointment vs vehicle
no estimate extractedNRNo studies
Percentage of participants with complete cure
Paromomycin ointment vs vehicle
RR 1 [0.86, 1.17]2 studies · 383 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adverse effects Skin/local reactions
Paromomycin ointment vs vehicle
RR 1.42 [0.67, 3.01]4 studies · 713 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Speed of healing (time taken to be 'cured')
Paromomycin ointment vs vehicle
no estimate extractedNRNo studies
Microbiological or histopathological cure of skin lesions
Paromomycin ointment vs vehicle
RR 1.03 [0.88, 1.2]2 studies · 383 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness