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

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Analysis 10.4. Comparison 10 Artemether-lumefantrine vs Artesunate plus sulfadoxine-pyrimethamine,<br />

Outcome 4 Total Failure (P. falciparum) Day 28 PCR adjusted.<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: 4 Total Failure (P. falciparum) Day 28 PCR adjusted<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 7/79 7/72 40.2 % 0.91 [ 0.34, 2.47 ]<br />

Subtotal (95% CI) 79 72 40.2 % 0.91 [ 0.34, 2.47 ]<br />

Total events: 7 (AL6), 7 (AS+SP)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 0.18 (P = 0.86)<br />

2 Oceania<br />

Karunajeewa 2007 PNG 3/96 11/98 59.8 % 0.28 [ 0.08, 0.97 ]<br />

Subtotal (95% CI) 96 98 59.8 % 0.28 [ 0.08, 0.97 ]<br />

Total events: 3 (AL6), 11 (AS+SP)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 2.01 (P = 0.044)<br />

Total (95% CI) 175 170 100.0 % 0.53 [ 0.25, 1.13 ]<br />

Total events: 10 (AL6), 18 (AS+SP)<br />

Heterogeneity: Chi 2 = 2.16, df = 1 (P = 0.14); I 2 =54%<br />

Test <strong>for</strong> overall effect: Z = 1.64 (P = 0.10)<br />

0.002 0.1 1 10 500<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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