Wimmersberger 2018.
Methods |
Design: parallel group randomized trial Follow‐up: 21 days |
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Participants |
Country: République de Côte d'Ivoire Setting: rural school from 7 village Age: 2–12 years Sex: 46% girls Number included in study: 302 Inclusion criteria: children with T trichiura infection intensities of > 60 epg of stool in preschool aged and 100 epg in school age Exclusion criteria: children with any systemic illness (e.g. symptomatic malaria, severe anaemia defined as haemoglobin < 70 g/L in preschool‐aged and < 80 g/L in school‐aged children, underwent any anthelminthic treatment within the past 4 weeks, or were allergic to ivermectin Follow‐up: 10 (3.3%) Number positive for A lumbricoides: 79 Number included in review: 79 |
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Interventions |
Treatment strategy: screening and treat all included participants Children aged 2–5 years
Children aged 6–12 years
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Outcomes |
Outcomes included:Ascaris prevalence pre‐ and post‐treatment, cure rates, GM epg, adverse events Outcomes not included in review: anthelmintic efficacy for Trichuris, hookworm, andS mansoni |
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Notes |
Diagnostic technique: Kato‐Katz Funding support: Bill and Melinda Gates Foundation (Grant number: OPP1153928) |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Randomization was done using a computer‐generated code with varying random blocks sizes of four or eight for school aged children and of three or six for pre school aged children stratified by their baseline infection intensities (light or moderate plus heavy infection according to WHO guidelines." |
Allocation concealment (selection bias) | Unclear risk | Details not reported. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Quote: "Study‐site investigators were aware of the study‐group assignment." |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "laboratory technicians were blinded." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 10 (3.3%) 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 obvious source of other bias. |