Question · asked by 1 review

Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications): Complete clearance

Oral ivermectin 200 μg/kg (1 to 3 doses) may leads to lower complete clearance ‐ week 1 compared with topical permethrin 5% cream (1 to 3 applications) (low certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications)
Complete clearance ‐ week 1 · people with scabies, 2 to 80 years of ageLocation: India, Pakistan
Oral ivermectin 200 μg/kg (1 to 3 doses) may leads to lower complete clearance ‐ week 1 compared with topical permethrin 5% cream (1 to 3 applications) (low certainty).
Ivermectin and permethrin for treating scabies (2018) · Cochrane Headline outcomes only
RR 0.65 [0.54, 0.78]6 studies · 613 participantsLow
Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications)
Complete clearance ‐ week 2 · people with scabies, 2 to 80 years of ageLocation: India, Pakistan
Oral ivermectin 200 μg/kg (1 to 3 doses) showed no clear difference in complete clearance ‐ week 2 compared with topical permethrin 5% cream (1 to 3 applications) (low certainty).
Ivermectin and permethrin for treating scabies (2018) · Cochrane Headline outcomes only
RR 0.91 [0.76, 1.08]5 studies · 459 participantsLow
Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications)
Complete clearance ‐ week 4 ‐ IVER 1 dose versus PER 1 application · people with scabies, 2 to 80 years of ageLocation: India, Pakistan
Oral ivermectin 200 μg/kg (1 to 3 doses) showed no clear difference in complete clearance ‐ week 4 ‐ IVER 1 dose versus PER 1 application compared with topical permethrin 5% cream (1 to 3 applications) (high certainty).
Ivermectin and permethrin for treating scabies (2018) · Cochrane Headline outcomes only
RR 1 [0.86, 1.16]1 study · 80 participantsHigh
Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications)
Complete clearance ‐ week 4 ‐ IVER 1 to 3 doses versus PER 1 to 3 applications · people with scabies, 2 to 80 years of ageLocation: India, Pakistan
Oral ivermectin 200 μg/kg (1 to 3 doses) showed no clear difference in complete clearance ‐ week 4 ‐ IVER 1 to 3 doses versus PER 1 to 3… compared with topical permethrin 5% cream (1 to 3 applications) (low certainty).
Ivermectin and permethrin for treating scabies (2018) · Cochrane Headline outcomes only
RR 0.92 [0.82, 1.03]5 studies · 581 participantsLow
Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications)
Complete clearance ‐ week 4 ‐ IVER 2 doses versus PER 1 application · people with scabies, 2 to 80 years of ageLocation: India, Pakistan
Oral ivermectin 200 μg/kg (1 to 3 doses) showed no clear difference in complete clearance ‐ week 4 ‐ IVER 2 doses versus PER 1 application compared with topical permethrin 5% cream (1 to 3 applications) (high certainty).
Ivermectin and permethrin for treating scabies (2018) · Cochrane Headline outcomes only
RR 0.97 [0.83, 1.14]1 study · 80 participantsHigh

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Ivermectin and permethrin for treating scabies
2018 · Cochrane Headline outcomes only
Not reportedlist not extracted yetNot assessed

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.