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Acupoint herbal patching for children with recurrent respiratory tract infection: A systematic review and
Boram Lee1, Chan-Young Kwon2, Gyu Tae Chang3
1Clinical Medicine Division, Korea Institute of Oriental Medicine, 1672 Yuseongdae-ro, Yuseong-gu, Daejeon, 34054, Republic of Korea.
Insights
Acupoint herbal patching (AHP) effectively reduces respiratory tract infection (RTI) frequency and duration in children. This safe therapy also appears to enhance immune function, offering a promising treatment for pediatric recurrent RTIs.
Area of Science:
- Integrative Medicine
- Pediatric Pulmonology
- Traditional Chinese Medicine
Background:
- Recurrent respiratory tract infections (RRTI) pose a significant health challenge in pediatric populations.
- Acupoint herbal patching (AHP) is a traditional therapy utilized for managing pediatric RRTI.
- The safety and efficacy of AHP for pediatric RRTI require systematic evaluation.
Purpose of the Study:
- To conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) evaluating AHP for pediatric RRTI.
- To assess the efficacy of AHP in reducing the incidence and duration of respiratory tract infections (RTIs) in children.
- To analyze the safety profile of AHP when used as monotherapy or adjunctive therapy.
Main Methods:
- A comprehensive literature search was performed across eleven databases up to January 2020.
- Included studies were randomized controlled trials (RCTs) involving pediatric patients diagnosed with RRTI.
- AHP was considered as either a standalone treatment or an add-on therapy.
Main Results:
- Twenty-two RCTs encompassing 3579 participants were included in the meta-analysis.
- AHP significantly decreased the annual outbreaks and duration of RTIs compared to placebo at 1, 2, and 3-year follow-ups.
- No serious adverse events were reported, indicating a favorable safety profile for AHP.
Conclusions:
- Acupoint herbal patching (AHP) demonstrates promising efficacy in reducing the frequency and duration of RTIs in pediatric patients.
- AHP may contribute to improved immune function in children suffering from recurrent respiratory tract infections.
- The findings support AHP as a potentially safe and effective therapeutic option for pediatric RRTI.
Background:
Acupoint herbal patching (AHP) has been used for recurrent respiratory tract infection (RRTI) in children. This systematic review aimed to analyze the safety and efficacy of AHP in pediatric RRTI.
Methods:
Eleven databases were comprehensively searched up to January 2020. Randomized controlled trials (RCTs) using AHP as a monotherapy or adjunctive therapy in pediatric patients with RRTI were included.
Results:
Twenty-two RCTs with 3579 participants were included. Meta-analyses showed that outbreaks and disease duration of respiratory tract infection (RTI) per year significantly decreased in the AHP group compared with the placebo group, when follow-up was conducted after 1, 2, or 3 years. Moreover, AHP as a monotherapy or adjunctive therapy significantly decreased outbreaks and disease duration of RTI without serious adverse events.
Conclusion:
This review provides promising evidence that AHP may reduce the frequency and duration of RTI and improve immune function in pediatric patients with RRTI.
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