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. 1998 Jul 27;1998(3):CD000527. doi: 10.1002/14651858.CD000527

White GAM 89.

Methods Randomised, method not specified, open
No exclusions
No loss to follow‐up
Participants 43 Gambian children; severe malaria (WHO 1990b)
Excluded: antimalarials in previous 4 h
Interventions AM intramuscular vs CLQ intramuscular:
 1. AM 4 mg/kg on day 1, 2 mg/kg daily
 2. CLQ 3.5 mg/kg every 6 h (per os when able to take fluids by mouth)
Temperature > 38.5 °C treated with fanning, sponging and paracetamol; intravenous fluids, ampicillin, benzylpenicillin, gentamicin, diazepam, paraldehyde given as indicated clinically; all comatose patients given intramuscular phenobarbitone; blood transfusion if PCV < 15%
Outcomes 1. Mortality
 2. FCT
 3. PCT (50, 90, 100%)
 4. Time to reach coma score 5; time to drink, sit, stand, walk;
 5. Incidence of recurrent seizures, hypoglycaemia, septicaemia, transfusion
 6. Adverse effects
Notes Quality assessment: B, B, A
Artemether 80 mg/ml Kunming Pharmaceuticals