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. 2012 Sep 12;2012(9):CD002151. doi: 10.1002/14651858.CD002151.pub2

Krishna 1995a.

Methods Randomized, unblinded, method of randomization not stated.
Concealment of allocation unclear.
Losses to follow‐up not clearly stated but calculated to be 5 (23.8%), since final report of FCT and PCT indicated that n=16 out of 21.
No intention‐to‐treat analysis.
The study was approved by the ethical review subcommittee of the Ministry of Health, Tanzania.
The study was a component of Wellcome‐ Mahidol University‐ Oxford Tropical Medicine Research Programme.
Participants 14 patients were included out of 21 adults (7 per group).
All had uncomplicated P. falciparum malaria.
Kanchanaburi, Thailand
Oral temperature > 38 ºC
Range of parasitaemia: 1130 to 24,9600/µL
Exclusion criteria: age < 14 years, pregnancy, paracetamol taken < 6 hours before
Interventions Group A: Quinine (10 mg/kg, oral) followed 2 hours later by paracetamol (15 mg/kg, oral)
 Group B: Paracetamol (15 mg/kg) followed 2 hours later by quinine (10 mg/kg)
 Group C: Quinine (10 mg/kg) with no paracetamol
Group A was excluded from review
Outcomes
  1. Mean maximal fall in temp in 6 hours

  2. Time taken for temp to drop to < 38 ºC

  3. FCT

  4. PCT

  5. Cure rate

  6. Blood levels of paracetamol

Notes
Risk of bias
Bias Authors' judgement Support for judgement
Blinding (performance bias and detection bias) 
 All outcomes High risk  
Incomplete outcome data (attrition bias) 
 All outcomes Low risk  
Selective reporting (reporting bias) Low risk