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. 2010 Nov 10;2010(11):CD003940. doi: 10.1002/14651858.CD003940.pub3

Pons 1997.

Methods Multicentre study in the USA
Loss to follow‐up: 
 Fluconazole ‐ 13/83 (16%) 
 Nystatin ‐ 14 /84 (17%)
Analysis: no ITT
Participants Inclusion criteria: oropharyngeal candidiasis;CDC criteria for HIV/ AIDS; diagnosis confirmed by mycologic culture
Exclusion criteria: patients taking other forms of antifungal therapy at/ within 3 days of enrolment; known intolerance to imidazoles, triazoles or polyene components of nystatin, inability to tolerate oral medications, moderate to severe liver disease, life expectancy < 4 weeks, inability to be followed at one centre for study duration.
Clinical diagnosis confirmed with KOH and culture
167 patients enrolled and randomised 
 83 fluconazole 
 84 nystatin
Interventions Fluconazole ‐ 200mg (20ml) loading dose once off on day 1 then 100mg (10ml) once daily for 14 days
Nystatin ‐ 5ml (500,000 U) four times daily for 14 days
Duration of intervention ‐ 14 days
Follow up period ‐ after 28 and 48 days
Outcomes Clinical cure ‐ defined as complete resolution of signs and symptoms of oropharyngeal candidiasis
Mycologic cure: absence of candidal spp in cultures on day 14
Adverse events: GIT most common
Notes Ethics: informed consent obtained
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Random allocation, method not described
Allocation concealment? Unclear risk Not reported
Blinding? 
 All outcomes High risk Single blind: clinical evaluator at each study point was unaware of treatment assignment.