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

Legesse 2004.

Methods Design: parallel group randomized trial
Duration of study: March 2003
Follow‐up: 21 days
Participants Country: Ethiopia
Setting: school
Number included in study: 661
Age: 6–19 years (mean 10.6 years)
Sex: female 254, male 280
Inclusion criteria: did not receive any anthelmintic drugs in the past 3 months; positive for ≥ 1 helminth infections
Exclusion criteria: not reported
Lost at follow‐up: 127 (19.2%)
Number positive for A lumbricoides: 432
Number included in review: 432
Interventions Treatment strategy: screening and treat all included participants
  • Group 1: mebendazole 100 mg twice a day for 3 days (n = 325)

  • Group 2: albendazole 400 mg single dose (n = 107)

Outcomes Outcomes included:Ascaris prevalence pre‐ and post‐treatment, cure rates, pre‐ and post‐treatment GM epg, ERR
Outcomes not included in review: anthelmintic efficacy for Trichuris andS mansoni
Notes Diagnostic technique: Kato‐Katz
Funding support: mebendazole donated by Dr AR Hashim, Manager of East African Pharmaceuticals in Addis Ababa.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "A sequentially numbered list of students positive for at least one of the two helminth infections (Ascariasis or Trichuriasis) was prepared and randomly divided into four treatment groups using random numbers obtained from a random number table."
Allocation concealment (selection bias) Unclear risk Details not reported.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Different treatment schedule.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Details not reported.
Incomplete outcome data (attrition bias) 
 All outcomes High risk 127 (19.2%) participants lost at follow‐up and not included in analysis. Balanced lost among groups.
Selective reporting (reporting bias) High risk Adverse events not reported.
Other bias Low risk No other obvious source of bias.