Pons 1997.
Methods | Multicentre study in the USA Loss to follow‐up: Fluconazole ‐ 13/83 (16%) Nystatin ‐ 14 /84 (17%) Analysis: no ITT |
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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 |
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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 |
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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 |
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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. |