Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.

OBJECTIVES: To compare artemether (by intramuscular injection) and quinine (by intravenous infusion) as treatments for cerebral malaria in African children. METHODS: An open, randomized trial conducted at the Queen Elizabeth Central Hospital in Blantyre, Malawi. This trial was part of a multicentre...

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Päätekijät: Taylor, T, Wills, B, Courval, J, Molyneux, M
Aineistotyyppi: Journal article
Kieli:English
Julkaistu: 1998
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author Taylor, T
Wills, B
Courval, J
Molyneux, M
author_facet Taylor, T
Wills, B
Courval, J
Molyneux, M
author_sort Taylor, T
collection OXFORD
description OBJECTIVES: To compare artemether (by intramuscular injection) and quinine (by intravenous infusion) as treatments for cerebral malaria in African children. METHODS: An open, randomized trial conducted at the Queen Elizabeth Central Hospital in Blantyre, Malawi. This trial was part of a multicentre study designed to determine if treatment with artemether would significantly lower mortality rates compared with quinine. Data from 83 artemether recipients and 81 quinine recipients are reported here. RESULTS: Overall mortality rates and coma resolution times were not significantly different in the two treatment groups. Parasite and fever clearance times were significantly more rapid in the artemether recipients. Analyses which took into account the possible confounding variables did not significantly alter the findings of these unadjusted analyses. CONCLUSION: These results do not suggest that treatment with artemether would confer a survival advantage in children with life-threatening malaria. The power and precision of the estimated treatment effects of artemether would be enhanced by a meta-analysis of all relevant clinical trials.
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spelling oxford-uuid:c54e4e4c-6b3e-4641-9d71-b61f03a9c90d2022-03-27T06:29:53ZIntramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c54e4e4c-6b3e-4641-9d71-b61f03a9c90dEnglishSymplectic Elements at Oxford1998Taylor, TWills, BCourval, JMolyneux, MOBJECTIVES: To compare artemether (by intramuscular injection) and quinine (by intravenous infusion) as treatments for cerebral malaria in African children. METHODS: An open, randomized trial conducted at the Queen Elizabeth Central Hospital in Blantyre, Malawi. This trial was part of a multicentre study designed to determine if treatment with artemether would significantly lower mortality rates compared with quinine. Data from 83 artemether recipients and 81 quinine recipients are reported here. RESULTS: Overall mortality rates and coma resolution times were not significantly different in the two treatment groups. Parasite and fever clearance times were significantly more rapid in the artemether recipients. Analyses which took into account the possible confounding variables did not significantly alter the findings of these unadjusted analyses. CONCLUSION: These results do not suggest that treatment with artemether would confer a survival advantage in children with life-threatening malaria. The power and precision of the estimated treatment effects of artemether would be enhanced by a meta-analysis of all relevant clinical trials.
spellingShingle Taylor, T
Wills, B
Courval, J
Molyneux, M
Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.
title Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.
title_full Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.
title_fullStr Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.
title_full_unstemmed Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.
title_short Intramuscular artemether vs intravenous quinine: an open, randomized trial in Malawian children with cerebral malaria.
title_sort intramuscular artemether vs intravenous quinine an open randomized trial in malawian children with cerebral malaria
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AT courvalj intramuscularartemethervsintravenousquinineanopenrandomizedtrialinmalawianchildrenwithcerebralmalaria
AT molyneuxm intramuscularartemethervsintravenousquinineanopenrandomizedtrialinmalawianchildrenwithcerebralmalaria