Albonico 1994.
Methods |
Design: parallel group randomized trial Duration of study: October 1992 to February 1993 Duration of follow‐up: 18–31 days(mean 22.5 days) |
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Participants |
Country: United Republic of Tanzania Setting: school Number included in study: 2650 Age: 6–12 years (mean 10 years) Sex: not reported Inclusion criteria: school children aged 6–12 years who had never been treated for intestinal helminths Exclusion criteria: not reported Lost to follow‐up: 356 (13.4%) Number positive for A lumbricoides: 1548 Number included in review: 1548 |
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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, cure rates, pre‐ and post‐treatment GM epg, ERR, adverse events Outcomes not included in review: efficacy of anthelmintic treatment for Trichuris, and hookworm |
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Notes |
Diagnostic technique: Kato‐Katz Funding support: World Health Organization Programme of Intestinal Parasitic Infection Division of Communicable Diseases and by Direzione Generale per la Cooperazione allo Sviluppo, Italian Ministry of Foreign Affair |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Before the start of the trial, sequentially numbered envelopes were prepared, each envelope containing a single dose of one of 2 antihelminthic drugs. Half of envelopes, selected using computer generated random numbers, contained albendazole (400 mg (SmithKline Beecham) and other half mebendazole 500 mg (Jansen Pharmaceutica)." |
Allocation concealment (selection bias) | Unclear risk | Quote: "About 110 faecal specimens were collected each day, allocated a trial number sequentially, and whichever treatment was in the envelope with that number was administered to the child on the spot." |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Details not reported. Quote: "single blind randomized clinical trial" |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Details not reported. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 354 (13.4%) participants lost at follow‐up, and not included in analysis; 11% (148) in albendazole group and 16% (206) in mebendazole group. Loss was balanced between groups. |
Selective reporting (reporting bias) | Low risk | All stated outcomes reported. |
Other bias | Low risk | No other obvious source of bias. |