Cochrane · systematic review · CD008058

Topical treatment for facial burns

Hoogewerf, CJ, Hop, MJ, Nieuwenhuis, MK, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

WoundsAMSTAR 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
21
current version
GRADE rated
11
No studies
9
Included studies
NR
No studies 9 · 42.9%Ungraded 1 · 4.8%Very low 4 · 19%Low 6 · 28.6%Moderate 1 · 4.8%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

Topical antimicrobial agent compared with topical non‐antimicrobial agent for facial burns

6 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes (
Topical antimicrobial agent vs topical non‐antimicrobial agent
no estimate extractedNRNo studies
Time to complete wound healing (time to event data) (6 months)
Topical antimicrobial agent vs topical non‐antimicrobial agent
no estimate extracted39 participantsModerate
Downgraded: imprecision
Time to complete wound healing (days) (until wound healing)
Topical antimicrobial agent vs topical non‐antimicrobial agent
no estimate extracted60 participantsLow
Downgraded: risk of bias, imprecision
Proportion of wounds completely healed within 10 days (10 days)
Topical antimicrobial agent vs topical non‐antimicrobial agent
RR 0.94 [0.68, 1.29]39 participantsLow
Downgraded: risk of bias, imprecision
Change in wound surface area over time or partial healing – not measured
Topical antimicrobial agent vs topical non‐antimicrobial agent
no estimate extractedNRNo studies
Infection (unclear
Topical antimicrobial agent vs topical non‐antimicrobial agent
RR 0.38 [0.12, 1.21]40 participantsVery low
Downgraded: risk of bias, imprecision

Topical antimicrobial compared with alternative antimicrobial agent for facial burns

Population: people with facial burns
5 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes (
Topical antimicrobial vs alternative antimicrobial agent
no estimate extractedNRNo studies
Time to complete wound healing
Topical antimicrobial vs alternative antimicrobial agent
no estimate extractedNRNo studies
Proportion of wounds completely healed
Topical antimicrobial vs alternative antimicrobial agent
no estimate extractedNRNo studies
Change in wound surface area over time or partial healing (> 95%) (12 months)
Topical antimicrobial vs alternative antimicrobial agent
no estimate extracted142 participantsLow
Downgraded: risk of bias, imprecision
Infection (until wound healing)
Topical antimicrobial vs alternative antimicrobial agent
RR 0.73 [0.46, 1.17]15 participantsVery low
Downgraded: risk of bias, imprecision

Skin substitute compared with topical antimicrobial agent for facial burns

Population: people with facial burns
5 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes (
Skin substitute vs topical antimicrobial agent
no estimate extractedNRNo studies
Time to complete wound healing
Skin substitute vs topical antimicrobial agent
no estimate extractedNRNo studies
Proportion of wounds completely healed
Skin substitute vs topical antimicrobial agent
no estimate extractedNRNo studies
Change in wound surface area over time or partial wound healing (> 90%) (until wound healing)
Skin substitute vs topical antimicrobial agent
no estimate extracted34 participantsLow
Downgraded: risk of bias, imprecision
Infection (until wound healing and unclear (2x))
Skin substitute vs topical antimicrobial agent
no estimate extracted56 participantsVery low
Downgraded: risk of bias, imprecision

Miscellaneous treatment compared with miscellaneous treatment for facial burns

Population: people with facial burns
5 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes (
Miscellaneous treatment vs miscellaneous treatment
no estimate extractedNRNo studies
Time to complete wound healing (until wound healing)
Miscellaneous treatment vs miscellaneous treatment
no estimate extracted40 participantsLow
Downgraded: risk of bias, imprecision
Proportion of wounds completely healed in 14 days (14 days)
Miscellaneous treatment vs miscellaneous treatment
RR 4.77 [1.87, 12.15]43 participantsLow
Downgraded: risk of bias, imprecision
Change in wound surface area over time or partial wound healing
Miscellaneous treatment vs miscellaneous treatment
no estimate extracted2011 participantsUngraded
Infection (
Miscellaneous treatment vs miscellaneous treatment
no estimate extracted43 participantsVery low
Downgraded: risk of bias, imprecision