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. 2019 Jun 18;2019(6):CD010678. doi: 10.1002/14651858.CD010678.pub3

Bobossi‐Serengbe 2015.

Methods Trial design: randomized trial
Trial dates: June to August 2010
Participants Number of participants: 212 hospitalized children
Inclusion criteria: children between 6 and 59 months with clinical signs of severe malaria; P falciparum infection; and informed consent from parents or guardians.
Exclusion criteria: children with known hypersensitivity to quinine.
Interventions
  • Intramuscular artemether

    • Loading dose of 2 mg/kg on admission at 12 hour intervals...

    • ...followed by 2 mg/kg once daily for 2 days.

  • Intravenous quinine

    • Loading dose 10 mg salt/kg body weight on admission...

    • ...followed by 10 mg/kg every 4 hours for 3 days...

    • ...then oral quinine continued until the 7th day.

Outcomes Outcomes included in the review:
  • Death

  • Proportion with parasitaemia on day 3 and day 7

  • Adverse events


Outcomes not included in the review: none
Notes Location: Bangui Pediatric Complex, Bangui, Central African Republic
Transmission: stable perennial transmission
Funding: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Web‐based block randomization used.
Allocation concealment (selection bias) Unclear risk Not stated.
Blinding (performance bias and detection bias) 
 Objective outcome: Death Low risk Not stated. However, lack of blinding is unlikely to bias an objective outcome like death.
Blinding (performance bias and detection bias) 
 Subjective outcomes: Others High risk No blinding is described, and blinding would not be feasible as the route of administration is different for artemether and quinine.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No losses to follow‐up reported.
Selective reporting (reporting bias) Low risk No evidence of selective reporting.
Other bias Low risk No other bias identified.