Cochrane · systematic review · CD004685

Systemic antifungal therapy for tinea capitis in children

Chen, X, Jiang, X, Yang, M, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

SkinAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 6.7%Low 10 · 66.7%Moderate 4 · 26.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Complete cure and adverse events for terbinafine versus griseofulvin in children with tinea capitis

Population: children with tinea capitis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
Complete cure and adverse events for terbinafine vs griseofulvin
RR 1.06 [0.98, 1.15]3 studies · 328 participantsLow
Downgraded: risk of bias, imprecision
Proportion of participants with complete cure
Complete cure and adverse events for terbinafine vs griseofulvin
RR 1.18 [0.74, 1.88]1 study · 1006 participantsLow
Downgraded: risk of bias
Proportion of participants with complete cure
Complete cure and adverse events for terbinafine vs griseofulvin
RR 0.68 [0.53, 0.86]2 studies · 334 participantsModerate
Downgraded: risk of bias
Proportion of participants with complete cure
Complete cure and adverse events for terbinafine vs griseofulvin
RR 0.45 [0.15, 1.35]1 study · 21 participantsLow
Downgraded: risk of bias, imprecision
Adverse events attributed to the study drugs
Complete cure and adverse events for terbinafine vs griseofulvin
RR 1.11 [0.79, 1.57]1 study · 1549 participantsModerate
Downgraded: risk of bias
Severe adverse events
Complete cure and adverse events for terbinafine vs griseofulvin
RR 0.97 [0.24, 3.88]1 study · 1549 participantsModerate
Downgraded: risk of bias

Complete cure for itraconazole versus griseofulvin in children infected with Trichophyton and Microsporum

Population: children infected with Trichophyton and Microsporum
1 question
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
Complete cure for itraconazole vs griseofulvin
RR 0.92 [0.81, 1.05]2 studies · 134 participantsVery low
Downgraded: risk of bias, inconsistency

Complete cure for itraconazole versus terbinafine in children infected with Trichophyton

Population: children infected with Trichophyton
1 question
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
Complete cure for itraconazole vs terbinafine
RR 0.93 [0.72, 1.19]2 studies · 160 participantsLow
Downgraded: risk of bias

Complete cure for ketoconazole versus griseofulvin in children infected with Trichophyton

Population: children infected with Trichophyton
2 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
Complete cure for ketoconazole vs griseofulvin
RR 0.761 study · 62 participantsLow
Downgraded: risk of bias
Proportion of participants with complete cure
Complete cure for ketoconazole vs griseofulvin
RR 0.92 [0.81, 1.03]1 study · 62 participantsLow
Downgraded: risk of bias

Complete cure for fluconazole versus griseofulvin in children with tinea capitis

Population: children with tinea capitis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
Complete cure for fluconazole vs griseofulvin
RR 0.92 [0.81, 1.05]3 studies · 615 participantsModerate
Downgraded: risk of bias
Proportion of participants with complete cure
Complete cure for fluconazole vs griseofulvin
RR 1.06 [0.77, 1.46]1 study · 361 participantsLow
Downgraded: risk of bias

Complete cure for fluconazole versus terbinafine in children infected with Trichophyton

Population: children infected with Trichophyton
1 question
OutcomeEffectEvidenceStatus / GRADE
The proportion of participants with complete cure
Complete cure for fluconazole vs terbinafine
RR 0.87 [0.75, 1.01]1 study · 100 participantsLow
Downgraded: risk of bias

Complete cure for fluconazole versus itraconazole in children infected with Trichophyton

Population: children infected with Trichophyton
1 question
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
Complete cure for fluconazole vs itraconazole
RR 1 [0.83, 1.2]1 study · 100 participantsLow
Downgraded: risk of bias

Complete cure for different durations of fluconazole in children infected with T. tonsurans and M. canis

Population: children infected with T. tonsurans and M. canis
1 question
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with complete cure
RR 0.88 [0.68, 1.14]1 study · 491 participantsLow
Downgraded: risk of bias