Cochrane · systematic review · CD012688

Indoor residual spraying for preventing malaria in communities using insecticide‐treated nets

Pryce, J, Medley, N, Choi, L · Cochrane Database of Systematic Reviews · 2022 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 25%Low 3 · 37.5%Moderate 2 · 25%High 1 · 12.5%

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

Non‐pyrethroid‐like indoor residual spraying (IRS) plus insecticide‐treated nets (ITNs) versus ITNs alone for preventing malaria

Population: people at risk of malaria
CD012688.PUB3 (current) · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Malaria incidence
Non‐pyrethroid‐like indoor residual spraying (IRS) plus insecticide‐treated nets (ITNs) vs ITNs alone
Rate ratio 0.86 [0.61, 1.23]323631 participantsLow
Downgraded: imprecision, inconsistency
Malaria parasite prevalence
Non‐pyrethroid‐like indoor residual spraying (IRS) plus insecticide‐treated nets (ITNs) vs ITNs alone
RR 0.61 [0.42, 0.88]16394 participantsHigh
EIR
Non‐pyrethroid‐like indoor residual spraying (IRS) plus insecticide‐treated nets (ITNs) vs ITNs alone
no estimate extracted5 participantsVery low
Downgraded: imprecision, inconsistency
Anaemia prevalence
Non‐pyrethroid‐like indoor residual spraying (IRS) plus insecticide‐treated nets (ITNs) vs ITNs alone
RR 0.71 [0.38, 1.31]4288 participantsLow
Downgraded: imprecision, inconsistency

Pyrethroid‐like indoor residual spraying (IRS) + insecticide‐treated nets (ITNs) versus ITNs alone for preventing malaria

Population: people at risk of malaria
CD012688.PUB3 (current) · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Malaria incidence
Pyrethroid‐like indoor residual spraying (IRS) + insecticide‐treated nets (ITNs) vs ITNs alone
Rate ratio 1.07 [0.8, 1.43]15717 participantsModerate
Downgraded: imprecision
Malaria parasite prevalence
Pyrethroid‐like indoor residual spraying (IRS) + insecticide‐treated nets (ITNs) vs ITNs alone
RR 1.11 [0.86, 1.44]10820 participantsModerate
Downgraded: imprecision
EIR
Pyrethroid‐like indoor residual spraying (IRS) + insecticide‐treated nets (ITNs) vs ITNs alone
no estimate extracted2 participantsVery low
Downgraded: imprecision, indirectness
Anaemia prevalence (haemoglobin < 8 g/dL)
Pyrethroid‐like indoor residual spraying (IRS) + insecticide‐treated nets (ITNs) vs ITNs alone
RR 1.12 [0.89, 1.4]4186 participantsLow
Downgraded: imprecision, indirectness

‘Summary of findings' table 1

Population: people at risk of malaria
CD012688.PUB2 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Malaria incidence
Rate ratio 0.93 [0.46, 1.86]566 participantsVery low
Downgraded: imprecision, inconsistency
Malaria parasite prevalence
RR 0.67 [0.35, 1.28]10440 participantsLow
Downgraded: imprecision, inconsistency
EIR
no estimate extracted4 participantsVery low
Downgraded: imprecision, inconsistency
Anaemia prevalence (haemoglobin < 8 g/dL)
RR 0.46 [0.18, 1.2]2026 participantsLow
Downgraded: imprecision, inconsistency

‘Summary of findings' table 2

Population: people at risk of malaria
CD012688.PUB2 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Malaria incidence
Rate ratio 1.07 [0.8, 1.43]15717 participantsModerate
Downgraded: imprecision
Malaria parasite prevalence
RR 1.11 [0.86, 1.44]10820 participantsModerate
Downgraded: imprecision
EIR
no estimate extracted2 participantsVery low
Downgraded: imprecision, indirectness
Anaemia prevalence (haemoglobin < 8 g/dL)
RR 1.12 [0.89, 1.4]4186 participantsLow
Downgraded: imprecision, indirectness