Skip to main content
. 2020 Apr 14;2020(4):CD010599. doi: 10.1002/14651858.CD010599.pub2

Adams 2004.

Methods Design: parallel group randomized trial
Duration of study: not reported
Duration of follow‐up: 30 days
Participants Country: Republic of South Africa
Setting: school
Number included in study: 150
Age: 6–16 years (mean 10 years)
Sex: 75 girls, 75 boys
Inclusion criteria: pupils at a primary school serving a wine‐producing area were eligible to receive albendazole if they were infested by T trichiura. Children not infected by any species of helminth were suitable for the placebo group.
Exclusion criteria: chronic prescription medication, clinically evident illness, or both
Lost at follow‐up: 37 (24.6%)
Number positive for A lumbricoides: 58
Number included in review: 58
Interventions Treatment strategy: screening and treat all included participants
  • Group 1: albendazole 400 mg single dose (n = 15)

  • Group 2: albendazole 400 mg 2 consecutive days (n = 22)

  • Group 3: albendazole 400 mg 3 consecutive days (n = 21)

  • Group 4: placebo (no randomized group; not included in the review)

Outcomes Outcomes included:Ascaris prevalence pre‐ and post‐treatment cure rates and adverse events
Outcomes not included in review: efficacy of anthelmintic treatment for T trichiura not reported
Notes Diagnostic technique: "Standard methods"
Funding support: The Peninsula School Feeding Association; Anglo American Chairman's Fund, AngloGold Fund, De Beers Fund, and AusAID supported operational and developmental research to implement crèche‐ and school‐based deworming, health education and sanitation in impoverished communities in the south‐western Cape. GlaxoSmithKline donated the albendazole and placebo tablets.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "A statistician operating independently of the researchers in the field used random permutations to allocate the 150 Trichuris infected children into 3 groups, which were again randomized to the different doses of albendazole."
Allocation concealment (selection bias) Low risk Quote: "Set of three blister packs for each code recipient were prepared in laboratory. Packs were marked for use on day 1, 2 and 3 respectively."
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "Placebo tablets matched the albendazole tablets in appearance, as did the blister packs. All treatments comprised 1 tablet a day for 3 days. At the school, neither the person administering the treatment, nor the child receiving the tablet, was aware of the dose."
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Faecal samples were coded and microscopist who processed and examined the specimens for helminth eggs were unaware which treatment group any sample corresponded to.
Incomplete outcome data (attrition bias) 
 All outcomes High risk 37 (24.7%) participants lost at follow‐up and not included in analysis.
Selective reporting (reporting bias) Low risk All stated outcomes reported.
Other bias Low risk No other obvious source of bias.