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. 2015 Jul 23;2015(7):CD000371. doi: 10.1002/14651858.CD000371.pub6
Methods Quasi‐RCT
Length of follow‐up: 28 days
Participants Infected children identified by screening
Number analysed for primary outcome: 13
Age range: 1.5 to 5 years
Inclusion criteria: boys attending mother and child clinic with Ascaris on stool smear; aged 1.5 to 5 years with no history of diarrhoea for preceding 2 weeks; no fever; no respiratory symptoms; no signs of severe disease
Exclusion criteria: children diagnosed with other parasites; excluded girls to eliminate the contamination of samples with urine
Interventions Single dose vs placebo
  1. Piperazine: 3 g single dose;

  2. Placebo syrup: single dose.

Outcomes
  1. Weight;

  2. MUAC;

  3. Triceps skinfold thickness.


Not included in review: Ascaris worm count
Notes Location: Ethiopia
Community category: N/A
The trial authors mention that boys were matched in pairs so that if there were drop outs they could be replaced. They do not indicate if there were any drop outs. SDs calculated from individual data.
Freij 1979a and Freij 1979ai were reported in the same article.
Source of funding: Semper Nutrition Fund, Stockholm; Swedish Medical Research Council.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Quasi‐RCT: boys matched into pairs of equal age and nutritional status.
Allocation concealment (selection bias) Unclear risk No details reported.
Blinding (performance bias and detection bias) All outcomes Unclear risk Described as double blind, no further details reported.
Incomplete outcome data (attrition bias) All outcomes Unclear risk 100% (13/13) of enrolled participants were evaluated. The authors mention that boys were matched in pairs so that if there were drop outs they could be replaced. They do not indicate if there were any drop outs. Inclusion of all randomized participants (number evaluable/number randomized): 100% (13/13).
Selective reporting (reporting bias) Low risk Authors had intended to measure bicep and tricep skinfolds, but staff were unable to take these measurements.
Other bias Low risk No obvious other source of bias.