Albonico 2002.
Methods |
Design: parallel group randomized trial Duration of study: September to October 2000 Duration of follow‐up: mean 21 days (range 20–23 days) |
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Participants |
Country: United Republic of Tanzania Setting: school Number included in study: 1435 Age: 8–13 years (mean 9.4 years) Sex: 795 girls, 640 boys Inclusion criteria: 1st and 2nd grade school children from 7 primary public school randomly selected among 72 schools Exclusion criteria: significant comorbidities (e.g. severe diarrhoea, severe anaemia, high fever); and had received anthelmintic treatment in previous month Lost at follow‐up: 106 (7.4%) Number of participants positive for A lumbricoides: 310 Number of participants included in review: 210 |
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Interventions |
Treatment strategy: screening and treat all included participants
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Outcomes |
Outcomes included:Ascaris cure rates, pre‐ and post‐treatment GM epg, ERR, adverse events Outcomes not included in review: efficacy of anthelmintic treatment for Trichuris; efficacy of pyrantel‐oxantel for Ascaris |
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Notes |
Diagnostic technique: Kato‐Katz Funding support: Parasitic and Vector Control, Division of Communicable Diseases, World Health Organization Pharmamed (Malta) donated placebo and mebendazole, and Pfizer (Indonesia) donated pyrantel‐oxantel. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Randomization was blocked on weight and a computer‐generated program was used to create 3 randomized treatment list." |
Allocation concealment (selection bias) | Low risk | Quote: "Treatments were placed in sealed, opaque envelopes and coded with a number." |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "Placebo pills resembled mebendazole in colour, size, taste, and shape." |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "All laboratory investigations were blinded, i.e. the technicians examining the slides were unaware of the treatment regimen of the patients." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 106 (7.4%) participants lost at follow‐up and not included in analysis. |
Selective reporting (reporting bias) | Low risk | All stated outcomes were reported. |
Other bias | Low risk | No other obvious source of bias. |