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. 2020 Apr 14;2020(4):CD010599. doi: 10.1002/14651858.CD010599.pub2

Adams 1994.

Methods Design: parallel group randomized trial
Duration of study: March to May 1990
Duration of follow‐up: 63 days
Participants Country: Kenya
Setting: school
Number included in study: 56
Age: 5–10 years
Sex: 31 girls, 25 boys
Inclusion criteria: children in nursery and standard 1 classes of Mvindeni Primary School in Kwale District Coast Province Kenya, who had more than 500 epg of T trichiura or > 1000 epg of A lumbricoides or hookworm, prepubertal and > 5 years old
Lost at follow‐up: 1 (1.8%)
Number positive for A lumbricoides: 16
Number included in review: 16
Exclusion criteria: children with severe anaemia
Interventions Treatment strategy: screening and treat all included participants
  • Group 1: albendazole 400 mg single dose 3 consecutive days (n = 9)

  • Group 2: placebo (n = 7)

Outcomes Outcomes included:Ascaris prevalence pre‐ and post‐treatment, pre‐ and post‐treatment AM and GM epg, ERR.
Outcomes not included in review: efficacy of anthelmintic treatment for T trichiura and hookworm and anthropometric measurements, activity and appetite, haemoglobin concentration
Notes Diagnostic technique: Modified Kato‐Katz
Funding support: Thrasher Research Fund, SmithKline Beecham, Ltd. and NIH Nutrition Training Grant 2‐T32‐DK07158
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "subjects were grouped according to sex and paired according to hookworm intensity; one of each pair was allocated at random to the albendazole‐treated group or the placebo group."
Allocation concealment (selection bias) Unclear risk Details not reported.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "three 400 mg doses of either albendazole (SmithKline Beecham, Brentford, Middlesex, U.K.) or an identical‐appearing placebo were administered to each child on three consecutive school days (MIMS Africa 1989)."
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Details not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 1 (1.8%) participant lost to follow‐up and data not considered in analysis.
Selective reporting (reporting bias) High risk Adverse events not reported.
Other bias Low risk No obvious source of other bias.