Infection in preterm infants receiving topical emollient oil massage: a systematic review and meta-analysis of randomised control trials.


Journal

BMJ paediatrics open
ISSN: 2399-9772
Titre abrégé: BMJ Paediatr Open
Pays: England
ID NLM: 101715309

Informations de publication

Date de publication:
10 Jul 2024
Historique:
received: 03 11 2023
accepted: 20 04 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 10 7 2024
Statut: epublish

Résumé

Preterm infants are highly susceptible to infections, which significantly contribute to morbidity and mortality. This systematic review and meta-analysis investigated the effectiveness of topical emollient oil application in preventing infections among preterm infants. A comprehensive search was conducted across multiple electronic databases (PubMed, Cochrane, Scopus, Clinical trials, Epistemonikos, HINARI and Global Index Medicus) and other sources. A total of 2185 articles were identified and screened for eligibility. The quality of included studies was assessed using the Cochrane Risk of Bias Tool for randomised controlled trials. Data analysis was performed using StataCrop MP V.17 software. Heterogeneity among the studies was evaluated using the I Of 2185 retrieved articles from initial searches, 11 met eligibility criteria and were included in the final analysis. A random effects meta-analysis revealed that infants who received massages with emollient oils had a 21% reduced risk of infection (risk ratio=0.79, 95% CI 0.64 to 0.97, I It is quite evident from this analysis that topical emollient oil application in preterm neonates is most likely effective in preventing infection. However, further studies, particularly from the African continent, are warranted to support universal recommendations.

Sections du résumé

BACKGROUND BACKGROUND
Preterm infants are highly susceptible to infections, which significantly contribute to morbidity and mortality. This systematic review and meta-analysis investigated the effectiveness of topical emollient oil application in preventing infections among preterm infants.
METHODS METHODS
A comprehensive search was conducted across multiple electronic databases (PubMed, Cochrane, Scopus, Clinical trials, Epistemonikos, HINARI and Global Index Medicus) and other sources. A total of 2185 articles were identified and screened for eligibility. The quality of included studies was assessed using the Cochrane Risk of Bias Tool for randomised controlled trials. Data analysis was performed using StataCrop MP V.17 software. Heterogeneity among the studies was evaluated using the I
RESULTS RESULTS
Of 2185 retrieved articles from initial searches, 11 met eligibility criteria and were included in the final analysis. A random effects meta-analysis revealed that infants who received massages with emollient oils had a 21% reduced risk of infection (risk ratio=0.79, 95% CI 0.64 to 0.97, I
CONCLUSION CONCLUSIONS
It is quite evident from this analysis that topical emollient oil application in preterm neonates is most likely effective in preventing infection. However, further studies, particularly from the African continent, are warranted to support universal recommendations.

Identifiants

pubmed: 38986540
pii: 10.1136/bmjpo-2023-002364
doi: 10.1136/bmjpo-2023-002364
pii:
doi:

Substances chimiques

Emollients 0

Types de publication

Journal Article Systematic Review Meta-Analysis Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: No, there are no competing interests.

Auteurs

Fekadeselassie Belege Getaneh (FB)

Pediatrics and child health nursing, Wollo University, Dessie, Ethiopia fekadebelege@gmail.com.

Aden Asmare (A)

NICU, Dessie Hospital, Desse, Ethiopia.

Bezabih Abayneh (B)

Debre Berhan University, Debre Berhan, Amhara, Ethiopia.

Endalk Birre (E)

Pediatrics and child health nursing, Wollo University, Dessie, Ethiopia.

Anissa Mohammed (A)

Public health, Wollo University, Dessie, Ethiopia.

Amare Muche (A)

Public health, Wollo University, Dessie, Ethiopia.

Alemu Gedefie (A)

Medical Laboratory, Wollo University, Dessie, Ethiopia.

Yibeltal Asmamaw (Y)

Pediatrics and child health nursing, Wollo University, Dessie, Ethiopia.

Zemen Mengesha (Z)

Nursing, Wollo University, Dessie, Ethiopia.

Natnael Moges (N)

Pediatrics and child health Nursing, Debre Tabor Univeristy, Debre Tabor, Ethiopia.

Dires Mihretie Birhanu (DM)

Pediatrics and child health nursing, Dilla University College of Health Sciences, Dilla, Ethiopia.

Zebenay Workneh Bitew (ZW)

Pediatrics and child health nursing, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Asressie Molla (A)

Public health, Wollo University, Dessie, Ethiopia.

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