Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis

Objective: To systematically evaluate the clinical efficacy and safety of Qingkailing (QKL) injection for pediatric acute upper respiratory infection (AURI). Methods: We searched for randomized controlled trials (RCTs) of pediatric AURI treated by QKL and western medicine (WM) in the China National...

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Main Authors: Jiarui Wu, Dan Zhang, Yutong Wang, Xiaomeng Zhang, Shi Liu, Bing Zhang
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Journal of Traditional Chinese Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095754816300618
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author Jiarui Wu
Dan Zhang
Yutong Wang
Xiaomeng Zhang
Shi Liu
Bing Zhang
author_facet Jiarui Wu
Dan Zhang
Yutong Wang
Xiaomeng Zhang
Shi Liu
Bing Zhang
author_sort Jiarui Wu
collection DOAJ
description Objective: To systematically evaluate the clinical efficacy and safety of Qingkailing (QKL) injection for pediatric acute upper respiratory infection (AURI). Methods: We searched for randomized controlled trials (RCTs) of pediatric AURI treated by QKL and western medicine (WM) in the China National Knowledge Infrastructure Database, China Science and Technology Journal Database, Wanfang, Chinese Biomedical Literature Database, PubMed and Cochrane Library from inception to August, 2016. Two reviewers independently retrieved the RCTs and extracted information. The Cochrane Collaboration Risk of Bias Assessment Tool was used to evaluate the methodological quality of RCTs. The data were meta-analyzed by RevMan 5.3 software. Results: Ultimately, 21 RCTs that involved 2364 participants were included, and the quality of RCTs was generally poor. According to the meta-analysis, the combined use of QKL and WM for treating AURI can be effective, with a higher total effective rate, less defervescence time and less recovery time of tonsil and throat inflammation. Twenty-five adverse drug reactions (ADRs) were reported in three RCTs, but there were no serious ADRs. Conclusion: The combination of QKL and WM for treating pediatric AURI can result in better effects, but no definitive conclusions can be made regarding its safety. More rigorous RCTs are needed to support the clinical application of QKL.
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spelling doaj.art-54a280c470d44e11a6a45250d9f879122023-09-02T05:55:23ZengElsevierJournal of Traditional Chinese Medical Sciences2095-75482017-07-014324525310.1016/j.jtcms.2017.07.014Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysisJiarui WuDan ZhangYutong WangXiaomeng ZhangShi LiuBing ZhangObjective: To systematically evaluate the clinical efficacy and safety of Qingkailing (QKL) injection for pediatric acute upper respiratory infection (AURI). Methods: We searched for randomized controlled trials (RCTs) of pediatric AURI treated by QKL and western medicine (WM) in the China National Knowledge Infrastructure Database, China Science and Technology Journal Database, Wanfang, Chinese Biomedical Literature Database, PubMed and Cochrane Library from inception to August, 2016. Two reviewers independently retrieved the RCTs and extracted information. The Cochrane Collaboration Risk of Bias Assessment Tool was used to evaluate the methodological quality of RCTs. The data were meta-analyzed by RevMan 5.3 software. Results: Ultimately, 21 RCTs that involved 2364 participants were included, and the quality of RCTs was generally poor. According to the meta-analysis, the combined use of QKL and WM for treating AURI can be effective, with a higher total effective rate, less defervescence time and less recovery time of tonsil and throat inflammation. Twenty-five adverse drug reactions (ADRs) were reported in three RCTs, but there were no serious ADRs. Conclusion: The combination of QKL and WM for treating pediatric AURI can result in better effects, but no definitive conclusions can be made regarding its safety. More rigorous RCTs are needed to support the clinical application of QKL.http://www.sciencedirect.com/science/article/pii/S2095754816300618Qingkailing injectionChildrenAcute upper respiratory infectionRandomized controlled trialsMeta-analysis
spellingShingle Jiarui Wu
Dan Zhang
Yutong Wang
Xiaomeng Zhang
Shi Liu
Bing Zhang
Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis
Journal of Traditional Chinese Medical Sciences
Qingkailing injection
Children
Acute upper respiratory infection
Randomized controlled trials
Meta-analysis
title Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis
title_full Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis
title_fullStr Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis
title_full_unstemmed Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis
title_short Qingkailing injection for the treatment of acute upper respiratory infection in children: a systematic review and meta-analysis
title_sort qingkailing injection for the treatment of acute upper respiratory infection in children a systematic review and meta analysis
topic Qingkailing injection
Children
Acute upper respiratory infection
Randomized controlled trials
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S2095754816300618
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