Albright 2002.
Methods | Design: retrospective cohort study. Study dates: November 1997 to January 2000 Malaria transmission pattern and local antimalarial drug resistance: various destinations, not specified. Adverse event monitoring: one off telephone interview with parents whose children had previously been prescribed antimalarial prophylaxis. |
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Participants | Number enrolled: 177 fit inclusion criteria and interviewed, 190 contacted Inclusion criteria: children aged ≤ 13 years who visited the travel clinic at the Children’s Memorial Hospital in Chicago within the study dates. Subjects who were not on other medications. Exclusion criteria: "...data were only included if the child was living with the interviewed parent while taking the antimalarial". "Unwillingness to participate in the study and language barriers". Factors influencing drug allocation: "children... instructed to take mefloquine or chloroquine for malaria prophylaxis". Country of recruitment: USA. Country of malaria exposure: various; Africa 58%, Central or South America 21%, India 12% or Eastern Asia 9%. Duration of exposure to malaria: various, not specified. Type of participants: travellers |
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Interventions | 1. Mefloquine* 2. Chloroquine* *dosing regimen not specified |
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Outcomes | 1. Adverse effects; any, nausea, vomiting, diarrhoea, headache, insomnia, abnormal dreams 2. Serious adverse effects 3. Discontinuations of study drug due to adverse effects |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Other bias | Unclear risk |
1. Confounding: moderate Age, sex and destination of travel were recorded, but were not reported across prophylactic regimens 2. Selection of participants into the study: low Non‐response rate 1.6% 3. Measurement of interventions: moderate The prescription was provided by a travel clinic, but participants were asked to recall if they discontinued their medication 2.8 to 28 months after visiting 4. Departures from intended interventions: serious Information was collected up to 2 years after taking the drug. No information was captured on switches. 5. Missing data: low All information was collected at one time point, there were no losses to follow‐up. 6. Measurement of outcomes: serious The outcome measure was subjective, participants and personnel were not blinded. 7. Selection of the reported results: low All outcomes included in the introduction were reported in the results 8. Other: low "The authors had no financial or other conflicts of interest to disclose" |