Cochrane · systematic review · CD011525

Intermittent preventive treatment for malaria in infants

Esu, EB, Oringanje, C, Meremikwu, MM · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Infectious Diseases2 versionsAMSTAR 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
24
current version
GRADE rated
20
No studies
4
Included studies
NR
No studies 4 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 12.5%Moderate 16 · 66.7%High 1 · 4.2%

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

Current version only

‘Summary of findings' table 1

Population: children under 12 months of age
CD011525.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.78 [0.69, 0.88]8 studies · 8774 participantsModerate
Downgraded: imprecision, inconsistency
Severe malaria
Rate ratio 0.92 [0.47, 1.81]2 studies · 1347 participantsLow
Downgraded: imprecision, inconsistency
All‐cause mortality
Risk ratio 0.93 [0.74, 1.15]9 studies · 14588 participantsModerate
Downgraded: imprecision, inconsistency
Hospital admission for any reason
Rate ratio 0.85 [0.78, 0.93]7 studies · 7486 participantsModerate
Downgraded: imprecision, inconsistency
Parasitaemia
Rate ratio 0.66 [0.56, 0.79]1 study · 1200 participantsModerate
Downgraded: imprecision, inconsistency
Anaemia
Rate ratio 0.82 [0.68, 0.98]6 studies · 7438 participantsModerate
Downgraded: imprecision, inconsistency

‘Summary of findings' table 2

Population: malaria in infants
CD011525.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.75 [0.61, 0.94]1 study · 547 participantsModerate
Downgraded: imprecision
Severe malaria
no estimate extractedNRNo studies
All‐cause mortality
Risk ratio 1.21 [0.58, 2.55]1 study · 684 participantsModerate
Downgraded: imprecision
Hospital admission for any reason
Rate ratio 0.98 [0.76, 1.27]1 study · 684 participantsModerate
Downgraded: imprecision
Parasitaemia
no estimate extractedNRNo studies
Anaemia
Rate ratio 0.77 [0.53, 1.12]1 study · 684 participantsModerate
Downgraded: imprecision

‘Summary of findings' table 3

Population: malaria in infants
CD011525.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.42 [0.33, 0.54]1 study · 147 participantsModerate
Downgraded: imprecision
Severe malaria
Rate ratio 1.29 [0.28, 5.98]1 study · 147 participantsModerate
Downgraded: imprecision
All‐cause mortality
Risk ratio 0.17 [0.01, 4.06]1 study · 147 participantsLow
Downgraded: imprecision
Hospital admission for any reason
Rate ratio 1.58 [0.46, 5.42]1 study · 147 participantsLow
Downgraded: imprecision
Parasitaemia
no estimate extracted1 study · 147 participantsModerate
Downgraded: imprecision
Anaemia
no estimate extracted1 study · 147 participantsModerate
Downgraded: imprecision

‘Summary of findings' table 4

Population: malaria in infants
CD011525.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.78 [0.62, 0.97]1 study · 676 participantsHigh
Severe malaria
no estimate extractedNRNo studies
All‐cause mortality
Risk ratio 0.83 [0.36, 1.89]1 study · 676 participantsModerate
Downgraded: imprecision
Hospital admission for any reason
Rate ratio 0.92 [0.71, 1.2]1 study · 676 participantsModerate
Downgraded: imprecision
Parasitaemia
no estimate extractedNRNo studies
Anaemia
Rate ratio 0.72 [0.49, 1.07]1 study · 676 participantsModerate
Downgraded: imprecision

‘Summary of findings' table 1

Population: children under 12 months of age
CD011525.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.79 [0.74, 0.85]8 studies · 8774 participantsModerate
Downgraded: imprecision, inconsistency
Severe malaria
Rate ratio 0.92 [0.47, 1.81]2 studies · 1347 participantsLow
Downgraded: imprecision, inconsistency
All‐cause mortality
Risk ratio 0.93 [0.74, 1.15]9 studies · 14588 participantsModerate
Downgraded: imprecision, inconsistency
Hospital admission for any reason
Rate ratio 0.85 [0.78, 0.93]7 studies · 7486 participantsModerate
Downgraded: imprecision, inconsistency
Parasitaemia
Rate ratio 0.66 [0.56, 0.79]1 study · 1200 participantsModerate
Downgraded: imprecision, inconsistency
Anaemia
Rate ratio 0.82 [0.68, 0.98]6 studies · 7438 participantsModerate
Downgraded: imprecision, inconsistency

‘Summary of findings' table 2

Population: malaria in infants
CD011525.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.75 [0.61, 0.94]1 study · 547 participantsModerate
Downgraded: imprecision
Severe malaria
no estimate extractedNRNo studies
All‐cause mortality
Risk ratio 1.21 [0.58, 2.55]1 study · 684 participantsModerate
Downgraded: imprecision
Hospital admission for any reason
Rate ratio 0.98 [0.76, 1.27]1 study · 684 participantsModerate
Downgraded: imprecision
Parasitaemia
no estimate extractedNRNo studies
Anaemia
Rate ratio 0.77 [0.53, 1.12]1 study · 684 participantsModerate
Downgraded: imprecision

‘Summary of findings' table 3

Population: malaria in infants
CD011525.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.42 [0.33, 0.54]1 study · 147 participantsModerate
Downgraded: imprecision
Severe malaria
Rate ratio 1.29 [0.28, 5.98]1 study · 147 participantsModerate
Downgraded: imprecision
All‐cause mortality
Risk ratio 0.17 [0.01, 4.06]1 study · 147 participantsLow
Downgraded: imprecision
Hospital admission for any reason
Rate ratio 1.58 [0.46, 5.42]1 study · 147 participantsLow
Downgraded: imprecision
Parasitaemia
no estimate extracted1 study · 147 participantsModerate
Downgraded: imprecision
Anaemia
no estimate extracted1 study · 147 participantsModerate
Downgraded: imprecision

‘Summary of findings' table 4

Population: malaria in infants
CD011525.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Rate ratio 0.78 [0.62, 0.97]1 study · 676 participantsHigh
Severe malaria
no estimate extractedNRNo studies
All‐cause mortality
Risk ratio 0.83 [0.36, 1.89]1 study · 676 participantsModerate
Downgraded: imprecision
Hospital admission for any reason
Rate ratio 0.92 [0.71, 1.2]1 study · 676 participantsModerate
Downgraded: imprecision
Parasitaemia
no estimate extractedNRNo studies
Anaemia
Rate ratio 0.72 [0.49, 1.07]1 study · 676 participantsModerate
Downgraded: imprecision