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Heavy Metal Index

A Study of the Percutaneous Absorption from Topically Applied Zinc Oxide Ointment

Six healthy men and patients on total parenteral nutrition received 40% zinc oxide ointment on intact skin.

Six healthy men and patients on total parenteral nutrition received 40% zinc oxide ointment on intact skin. Serum zinc was measured by flame atomic absorption. In the healthy men, mean serum zinc one hour after 100 g of ointment was 116.1 ± 5.02 µg/dL compared with 107.3 ± 5.32 µg/dL at baseline, a difference the authors report as not significant. The completed patient series is described as showing little change over 10 days. Urine zinc was not measured.

Key numbers

Figures below are copied as printed. Units are not converted. Species are not merged.

AnalyteWhat was reportedValueUnitBasisWhere
ZnO100 g of 40% zinc oxide in a white petrolatum base40% zinc oxideas preparedMethods, p. 1
ZnO100 g of 40% zinc oxide100gsingle topical applicationMethods, p. 1
ZnO60 g of 100% white petrolatum base60gsingle topical applicationMethods, p. 2
ZnO15 g of 40% zinc oxide ointment applied evenly to an area measuring 10 x 15 cm15gtopical, 10 x 15 cm area, 8 days of treatmentMethods, p. 2
Zntrial of 20% zinc chloride ointment treatment20% zinc chloridetopical doseresults text, p. 3
Znsecond trial of zinc chloride ointment in 5% concentration5% zinc chloridetopical doseresults text, p. 3
Znprecision of the analysis was 5 tig/dl (standard deviation with pooled serum, 6 degrees of freedom) for5tig/dlanalytical precisionSample Collection and Analysis, p. 2
Znmean increase in serum zinc from 107.3 ± 5.32 to 116.1 ± 5.02 µg/dL107.3 ± 5.32µg/dLserum concentrationAbstract and results text; Table IA values not captured in the extract, p. 1
Zn116.1 ± 5.02 µg/dL 1 hr after application116.1 ± 5.02µg/dLserum concentrationAbstract, p. 1
ZnThis 8.8 pg/dl increase over baseline represents an 8.2% rise8.8µg/dlserum concentrationresults text, p. 3
Zn115.2 ± 5.85 and 107.3 ± 5.32 p,g/dl115.2 ± 5.85µg/dlserum concentrationTable IB described in text, p. 3
Znfell from 115.2 ± 5.85 to 103.5 ± 5.32,ug/dl103.5 ± 5.32µg/dlserum concentrationresults text, p. 3
Zn12.6 pg/dl or 12.17% greater12.6pg/dlserum concentrationresults text, p. 3
Znmean baseline or pretreatment level of the 6 patients is 88.6 ± 5.85 pg/dl88.6 ± 5.85pg/dlserum concentrationresults text, p. 3

The structured evidence record for this source holds 15 copied values. The table above is the short set.

Methods (brief)

Phase I was a crossover, one week apart, of 100 g of 40% zinc oxide in petrolatum versus 60 g of petrolatum, with serum at baseline and hourly for 3 hours after a 12-hour fast. Phase II applied 15 g of the same ointment daily for 8 days to a 10 by 15 cm occluded area on the thigh. Normal serum zinc of 68 to 136 µg/dl is cited from another source and is not entered as a result of this study.

Evidence fitness

These data support One hour after 100 g of 40% zinc oxide ointment, mean serum zinc moved from 107.3 ± 5.32 to 116.1 ± 5.02 µg/dL. The authors report this 8.8 µg/dl rise as not statistically significant; Petrolatum control mean serum zinc fell from 115.2 ± 5.85 to 103.5 ± 5.32 µg/dl at 1 hour; Six patients on total parenteral nutrition had a pretreatment mean of 88.6 ± 5.85 pg/dl. The three who completed dosing are described as remaining relatively constant over 10 days, without printed day-by-day means.

They do not support Does not support a statistically significant rise in serum zinc over 3 hours in healthy men or a printed change over 10 days in the patients who completed dosing; Does not report urine zinc; Does not report zinc in skin; Individual Table I, II, and III cell values are not present in the text extract, so they are not transcribed.

Limitations

Year, journal title, and DOI are not printed on the extracted pages. Microgram glyphs are garbled after the abstract. Tables I to III are cited but their grids are not in the extract. Three of six patients did not complete the protocol. Patient 4’s rise from 101 to 142 is tied by the authors to tube feeding. Patient 5 received zinc chloride, not zinc oxide, and developed irritation. Tap water zinc of about 0.04 ppm is an assumption tied to a cited water file, not an assay in this paper, and is not ledgered.

Update history

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