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Table 5 Safety of IPTsc during intervention period

From: Efficacy and safety of intermittent preventive treatment for malaria in schoolchildren: a systematic review

Author (year)

Study site

Drug regime

No of children

Adverse events

Observation

Dicko [23]

Kambila

SP (bimonthly)

61

No severe adverse event

No data available

  

Control

90

Clarke [24]

Bondo

SP + AQ (four-monthly)

2604

19 (0.79 %) severe adverse events (problems of balance, dizziness, feeling faint, nausea or vomiting)

6 (0.23 %) adverse events graded as moderate

49 (1.9 %) mild events (nausea, headache, prurititis)

Mild events were more frequent among children receiving active drugs than among controls

  

Placebo

2302

4 (0.17 %) severe adverse events (problems of balance, dizziness, feeling faint, nausea or vomiting and one severe skin reaction)

7 (0.30 %) moderate adverse events

33 (1.4 %) mild events (nausea, headache, prurititis)

Barger [25]

Kollé

SP + AS

96

Most adverse events: headache, abdominal pain and respiratory symptoms.

–

  

AQ + AS

100

  

Placebo

98

Nankabirwa [26]

Tororo

SP

184

No severe adverse events.

Only mild (92 %) and moderate (8 %), with no difference between treatment groups

–

  

SP + AQ

197

  

DP

196

  

Placebo

192

Nankabirwa [27]

Tororo

DP (monthly)

244

6 (2.5 %) severe adverse events

Mild events were more frequent in the placebo group than the intervention arms

  

DP (three to five monthly)

248

1 (0.40 %) death (due to acute lymphoblastic leukaemia); 5 (2 %) severe adverse events

  

Placebo

248

3 (1.2 %) severe adverse events

  1. No number, SP sulfadoxine-pyrimethamine, SP + AQ sulfadoxine-pyrimethamine plus amodiaquine, SP + AS sulfadoxine-pyrimethamine plus artesunate, AQ + AS amodiaquine plus artesunate, DP dihydroartemisinin-piperaquine, % percentage