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. 2007 Jul 18;2007(3):CD001434. doi: 10.1002/14651858.CD001434.pub2

Akers 1989.

Methods RCT
 Study aim clearly defined: yes
 Blinded assessor of primary outcome: not stated 
 Double blind study: yes
 Participants comparable at baseline for age:yes
 Sex: yes 
 Duration of complaint: yes
 Inclusion and exclusion criteria specified: yes
 Interventions well described: yes
 Assessment of compliance: no
 Intention to treat analysis: no
 A Priori sample size calculation: no
 Fungi identified: yes
 Distribution of species between groups: not stated
 Adverse events reported: yes
 Number of drop outs stated: 30
Participants Total evaluable sample size: 229
Interventions a. Sulconazole nitrate 1% cream
 Duration: four weeks
 Frequency: applied twice daily
 b. Placebo cream
 Duration: four weeks
 Frequency: applied twice daily
Outcomes Primary outcome: Cure
 Secondary Outcomes: Signs and symptoms
 ‐ itching, erythems, scaling, fissuring, exudation, pustules, maceration, vesiculation
Notes Chronic moccasin type tinea pedis.
Data extracted for T. rubrum only (92% of those with + ve cultures)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate