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Artemisinin-based combination therapy for ... - The Cochrane Library

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Analysis 10.3. Comparison 10 Artemether-lumefantrine vs Artesunate plus sulfadoxine-pyrimethamine,<br />

Outcome 3 Total Failure (P. falciparum) Day 28 PCR unadjusted.<br />

Review: <strong>Artemisinin</strong>-<strong>based</strong> <strong>combination</strong> <strong>therapy</strong> <strong>for</strong> treating uncomplicated malaria<br />

Comparison: 10 Artemether-lumefantrine vs Artesunate plus sulfadoxine-pyrimethamine<br />

Outcome: 3 Total Failure (P. falciparum) Day 28 PCR unadjusted<br />

1 Africa<br />

Study or subgroup AL6 AS+SP Risk Ratio Weight Risk Ratio<br />

n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI<br />

Mukhtar 2005 SDN 8/80 12/77 32.8 % 0.64 [ 0.28, 1.48 ]<br />

Subtotal (95% CI) 80 77 32.8 % 0.64 [ 0.28, 1.48 ]<br />

Total events: 8 (AL6), 12 (AS+SP)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 1.04 (P = 0.30)<br />

2 Oceania<br />

Karunajeewa 2007 PNG 20/113 25/112 67.2 % 0.79 [ 0.47, 1.34 ]<br />

Subtotal (95% CI) 113 112 67.2 % 0.79 [ 0.47, 1.34 ]<br />

Total events: 20 (AL6), 25 (AS+SP)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 0.86 (P = 0.39)<br />

Total (95% CI) 193 189 100.0 % 0.74 [ 0.48, 1.16 ]<br />

Total events: 28 (AL6), 37 (AS+SP)<br />

Heterogeneity: Chi 2 = 0.18, df = 1 (P = 0.67); I 2 =0.0%<br />

Test <strong>for</strong> overall effect: Z = 1.30 (P = 0.19)<br />

0.01 0.1 1 10 100<br />

Favours AL Favours AS+SP<br />

<strong>Artemisinin</strong>-<strong>based</strong> <strong>combination</strong> <strong>therapy</strong> <strong>for</strong> treating uncomplicated malaria (Review)<br />

Copyright © 2009 <strong>The</strong> <strong>Cochrane</strong> Collaboration. Published by John Wiley & Sons, Ltd.<br />

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