RNNarrative ReviewAdvances in skin & wound care2021

Herpes Zoster (Shingles) Patient-Centered Wound Outcomes: A Literature Review.

Laura L Bolton, Nancy Faller, Robert S Kirsner

PMID 33852460

WHAT IT FOUND

Shingles blisters are open wounds.

Early antiviral treatment reduced pain and healing time, and case reports said dressings eased pain, but the review found no study comparing dressings added to standard care.

Key findings

01Pain was the most commonly measured patient-centered outcome in the reviewed shingles and postherpetic neuralgia studies.

02Antiviral agents given within 3 to 7 days after shingles onset reduced time to lesion crusting or healing.

03The review found no controlled studies of treatments for secondary infection and no clinical study comparing moisture-retentive dressings added to standard care.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review did not assess study quality or risk of bias, so it describes which outcomes were measured rather than how strong the evidence is. Most qualifying studies focused on immunocompetent people at least 50 years of age, so the findings may not apply to younger patients or people with compromised immune systems. Cross-study comparisons are complicated by varied patient-centered outcome measures, treatment techniques, and response measurements. The review focused only on validated measured outcomes and may have missed pruritus, body image, sexuality, or anxiety as separate patient experiences. The dressing findings come from six case reports with multiple concurrent treatments and self-care measures, and the review found no clinical study comparing dressings added to standard care.

The easy way to misread this

Do not conclude that dressings alone heal shingles faster or prevent infection. The case reports included antiviral treatment in some patients, no antiviral in others, analgesics, self-care measures, and different dressing or air-exposure choices, and the review found no clinical study comparing dressings added to standard care.

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