Table 2.
Location and date of publication | Participants | Setting | Interventions | Outcomes | Source of Support |
---|---|---|---|---|---|
Guatemala 1992 [18] |
Number: 102 Girls and boys, 3–35 mths Diarrhoea 14–18 days, weight for length not < -2 Z, no dysentery |
Surveillance project: rural indigenous community Field nurse visited homes three times daily to deliver intervention |
Group 1: 10 mg oral gentamicin sulphate per kg body weight per day: 3× daily for 5 days. Group 2: Placebo: 1% magnesium sulphate 3× daily for 5 days. |
Diarrhoea stopped at 7 days, and at least 48 hrs after end of treatment | None stated |
India 1992 [15] | Number: 68 Boys, 3 mths to 4 yrs Diarrhoea ≥ 14 days, weight for length ≤ 90% of standard, no dysentery |
Hospital oral rehydration unit in New Delhi Field worker visited homes twice daily to deliver intervention and leave evening dose |
Group 1: 50 mg oral gentamicin per kg body weight per day: 4 times daily for 6 days Group 2: Placebo |
≤ 2 liquid stools per day at 6 days. Intake of IV fluids, ORS, water and energy. Output of diarrhoea, vomit and urine. Weight change at 168 hrs |
Diarrhoeal Diseases Control Programme, World Health Organization |
India 1996 [16] | Number: 156 Girls and boys, 4 mths to 3 yrs Diarrhoea ≥ 14 days <4 weeks, no dysentery, Giardia lamblia or Entamoeba histolytica, no illness requiring antibiotics |
Surveillance project with referrals to clinic and direct clinic attendances: urban slum in Delhi (outpatients) |
Group 1: 30 mg oral metronidazole plus 50 mg oral nalidixic acid per kg body weight: 3× daily for 7 days Group 2: 30 mg oral metronidazole per kg body weight: 3× daily for 7 days Group 3: Placebo |
First of 3 days with < 3 liquid stools in a 24 hrs; days 3, 5 and 7. No. stools in previous 24 hrs; days 2, 5 and 7. Weight change at days 7 and 14 |
CDR, World Health Organization |
Bangladesh 1995 [17] | Number: 55 Girls and boys, 6 to 15 mths Diarrhoea ≥ 14 days <6 weeks No systemic infection, antibacterial use previous 7 days, severe malnutrition, Vibrio cholerae, Salmonella, Shigella, Giardia lamblia or Entamoeba histolytica |
Clinical research unit of specialist diarrhoea hospital (inpatients) |
Group 1: 10 mg oral trimethoprim plus 50 mg sulphamethoxazole per kg body weight; 2× daily for 7 days Group 2: Placebo, |
Diarrhoea stopped at 7 days. Stool output (g/kg) days 1,2,3,4,5,6 and 7, plus all days 1–7 combined. Duration of diarrhoea. Hospital infection. Energy intake (kcal/kg/day) |
United States Agency for International Development and the International Centre for Diarrhoeal Disease Research, Bangladesh |