Adams 1994.
Methods |
Design: parallel group randomized trial Duration of study: March to May 1990 Duration of follow‐up: 63 days |
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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 |
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Interventions |
Treatment strategy: screening and treat all included participants
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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 |
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Notes |
Diagnostic technique: Modified Kato‐Katz Funding support: Thrasher Research Fund, SmithKline Beecham, Ltd. and NIH Nutrition Training Grant 2‐T32‐DK07158 |
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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. |