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

Zani 2004.

Methods Design: parallel group randomized trial
Duration of study: March 2001 to March 2002
Follow‐up: 30 days
Participants Country: Brazil
Setting: community
Number included in study: 151
Age: 2–82 years
Sex: not reported
Inclusion criteria: people positive for A lumbricoides,T trichiura, or hookworms
Exclusion criteria: pregnant or lactating women, children aged < 2 years, and people with intense infection involving expulsion of worms through the mouth and faeces, did not receive any medication
Number positive for A lumbricoides: 83
Number included in review: 83
Interventions Treatment strategy: screened, randomized and treated all included participants
  • Group 1: mebendazole 100 mg twice a day over 3 consecutive days (n = 41)

  • Group 2: albendazole 400 mg single dose (n = 42)


Participants positive for S mansoni were treated with praziquantel (60 mg/kg, Farmanguinhos/Fiocruz, 1 week after the treatment for helminthiasis)
Outcomes Outcomes included:Ascaris prevalence pre‐ and post‐treatment, cure rates
Outcomes not included in review: anthelmintic efficacy for Trichuris, hookworm
Notes Diagnostic technique: Kato‐Katz
Funding support: World Health Organization
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Each group was randomly assigned to treatment with one or the other anthelmintic drug."
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 32 (21.2%) participants lost at follow‐up and not included in analysis.
Selective reporting (reporting bias) High risk Adverse events not reported.
Other bias Low risk No obvious source of other bias.

A lumbricoides:Ascaris lumbricoides; AM: arithmetic mean; epg: eggs per gram; ERR: egg reduction rate; GM: geometric mean; n: number of participants; S mansoni: Schistosoma mansoni; T trichiura:Trichuris trichiura;W bancrofti: Wuchereria bancrofti.