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International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021

Efficacy and safety of interferon α-2b spray for herpangina in children: A randomized, controlled trial.

СтатьяМногоцентровое исследованиеРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Ye Ying-Zi, Dou Ya-Lan, Hao Jian-Hua, Zhou Li, Lin Ai-Wei, Wang Shao-Ning, Deng Ji-Kui, Lei Min, Luo Ru-Ping, Liao Yi-Nan, Chen Yan, Long Yuan-Yuan, Chen Bi-Quan, Yang Zhi, Gan Lu, Nong Guang-Min, Yan Wei-Li, Yu Hui

Аннотация

OBJECTIVES: The treatment of acute herpangina is inconsistent. We aim to evaluate the effectiveness and safety of interferon α-2b spray versus Ribavirin for this disease.

METHODS: A randomized, controlled trial was conducted in eight hospitals in China between 2016 and 2018. 668 patients (1-7 years old) were randomized into an experimental group (treated with Interferon α-2b spray) or control group (received Ribavirin Aerosol). Body temperature returning to normal within 72 h and remaining so for 24 h was the primary outcome; release of oral herpes and adverse events were the secondary outcomes.

RESULTS: (1) The average age of onset was 2.5 years old. (2) After 72 h treatment, body temperature of 98.5% patients in experimental group and 94.3% in control group returned to normal and remained so for 24 h (P = 0.004). The differences were greater at 48 h treatment (95.2% vs. 85.9%, P < 0.001) and at 24 h (77.5% vs. 66.5%, P = 0.001). (3) The rate of improved oral herpes in the experimental group was higher than that in control group (46.7% vs.37.1%, P = 0.011). No adverse reaction occurred.

CONCLUSIONS: Local application of recombinant interferon α-2b spray showed better efficacy for acute herpangina in children. It was safe for use.

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