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Chinese Journal of Mycology 2019, Vol. 14  Issue (5): 270-276.

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Meta-analysis of the efficacy and safety of naftifine hydrochloride and ketoconazole cream for the dermatomycoses

FU Jie, WU Bin   

  1. Department of pharmacy, South Campus, Ren Ji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 201112, China
  • Received:2018-12-21 Online:2019-10-28 Published:2019-10-28

Abstract:

Objective To evaluate the efficacy and safety of naftifine hydrochloride and ketoconazole cream for the dermatomycoses. Methods Searching for database about randomized controlled trials(RCT) of naftifine hydrochloride and ketoconazole cream and other antifungal drug monotherapy to treat the dermatomycoses in Cochrane Library, Medline, Embase, CBM, CNKI, VIP database, Wanfang database. Literature screening and data extraction was conducted in software NoteExpress. Meta-analysis was performed with RevMan5.3. Results Finally, 43 RCTs were included with a total of 5413 patients. The analysis showed that the effective rate of naftifine hydrochloride and ketoconazole cream was 85.27%. The analysis showed that the efficacy of naftifine hydrochloride and ketoconazole cream was better than that of miconazole nitrate[RR=1.32, 95% CI (1.26, 1.38)], bifonazole treatment for 4-week group[RR=1.31, 95% CI (1.12, 1.54)], and ketoconazole[RR=1.25, 95% CI (1.14, 1.36)]. Compared with other drugs, naftifine hydrochloride and ketoconazole cream had lower relapse rate and incidence of adverse reactions. Conclusions Naftifine hydrochloride and ketoconazole cream is effective and safe in the treatment of dermatomycoses.

Key words: naftifine hydrochloride and ketoconazole, dermatomycoses, efficacy, safety

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