Cochrane · systematic review · CD012776

Piperonyl butoxide (PBO) combined with pyrethroids in insecticide‐treated nets to prevent malaria in Africa

Gleave, K, Lissenden, N, Chaplin, M, et al. · 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
20
current version
GRADE rated
20
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 25%Low 5 · 25%Moderate 6 · 30%High 4 · 20%

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

Show all 2 versions

Summary of findings table 1

Population: adults and childen living in malaria‐endemic areas, Anopheles gambiae complex or Anopheles funestus group
8 questions
OutcomeEffectEvidenceStatus / GRADE
Parasite prevalence (4‐ to 6‐month
OR 0.74 [0.62, 0.89]2 studies · 11582 participantsHigh
Parasite prevalence (9‐ to 12‐month
OR 0.72 [0.61, 0.86]2 studies · 11370 participantsModerate
Downgraded: imprecision, inconsistency
Parasite prevalence (16‐ to 18‐month
OR 0.88 [0.74, 1.04]2 studies · 11822 participantsModerate
Downgraded: imprecision, inconsistency
Parasite prevalence (21‐ to 25‐month
OR 0.79 [0.67, 0.95]2 studies · 10603 participantsModerate
Downgraded: imprecision, inconsistency
Mosquito mortality (unwashed nets)
RR 1.84 [1.6, 2.11]5 studies · 14620 participantsHigh
Mosquito mortality (washed nets)
RR 1.2 [0.88, 1.63]4 studies · 10268 participantsVery low
Downgraded: imprecision, inconsistency
Blood‐feeding success (unwashed nets)
RR 0.6 [0.5, 0.71]4 studies · 14000 participantsHigh
Blood‐feeding success (washed nets)
RR 0.81 [0.72, 0.92]3 studies · 9674 participantsHigh

Summary of findings table 2

Population: Anopheles gambiae complex or Anopheles funestus group
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mosquito mortality (unwashed nets)
RR 1.68 [1.33, 2.11]NRModerate
Downgraded: imprecision, inconsistency, indirectness
Mosquito mortality (washed nets)
RR 1.07 [0.74, 1.54]NRLow
Downgraded: imprecision, inconsistency, indirectness
Blood‐feeding success (unwashed nets)
RR 0.9 [0.72, 1.11]NRModerate
Downgraded: imprecision, inconsistency, indirectness
Blood‐feeding success (washed nets)
RR 0.91 [0.74, 1.13]NRLow
Downgraded: imprecision, inconsistency, indirectness

Summary of findings table 3

Population: Anopheles gambiae complex or Anopheles funestus group
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mosquito mortality (unwashed nets)
RR 1.25 [0.99, 1.57]NRModerate
Downgraded: imprecision, inconsistency
Mosquito mortality (washed nets)
RR 1.39 [0.95, 2.04]NRVery low
Downgraded: imprecision, inconsistency
Blood‐feeding success (unwashed nets)
RR 0.75 [0.27, 2.11]NRVery low
Downgraded: imprecision, inconsistency
Blood‐feeding success (washed nets)
RR 1.07 [0.49, 2.33]NRLow
Downgraded: imprecision, inconsistency

Summary of findings table 4

Population: Anopheles gambiae complex or Anopheles funestus group
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mosquito mortality (unwashed nets)
RR 1.2 [0.64, 2.26]NRLow
Downgraded: imprecision, inconsistency
Mosquito mortality (washed nets)
RR 1.07 [0.92, 1.25]NRLow
Downgraded: imprecision, inconsistency
Blood‐feeding success (unwashed nets)
RR 0.52 [0.12, 2.22]NRVery low
Downgraded: imprecision, inconsistency
Blood‐feeding success (washed nets)
RR 1.25 [0.82, 1.91]NRVery low
Downgraded: imprecision, inconsistency