Paracetamol versus placebo in treatment of non-severe malaria in children in Guinea-Bissau: a randomized controlled trial
2011

Paracetamol vs Placebo for Treating Malaria in Children

Sample size: 338 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kofoed Poul-Erik, Ursing Johan, Rodrigues Amabelia, Rombo Lars

Primary Institution: Projecto de Saúde de Bandim, Guinea-Bissau

Hypothesis

Does adding paracetamol to the treatment of uncomplicated malaria in children improve outcomes compared to placebo?

Conclusion

Adding paracetamol to the treatment of uncomplicated malaria in children did not significantly improve overall cure rates, but fewer children in the paracetamol group were admitted to the hospital for high fever and convulsions.

Supporting Evidence

  • Fewer children in the paracetamol group were admitted to the hospital for high fever and convulsions compared to the placebo group.
  • No significant differences in cumulative clinical and parasitological response rates were found between the two groups.
  • The study included 338 children who met the inclusion criteria for malaria treatment.

Takeaway

The study looked at whether giving paracetamol helps kids with malaria. It found that it didn't really help them get better faster, but it might have kept some kids from having really high fevers.

Methodology

Children with malaria were randomly assigned to receive either paracetamol or placebo along with chloroquine for three days, with follow-up for symptoms and parasitaemia.

Potential Biases

Potential bias in reporting symptoms and adherence to treatment.

Limitations

The study did not find significant differences in clinical outcomes between the two groups, and the sample size may limit the generalizability of the findings.

Participant Demographics

{"age_range_months":"3 - 190","weight_range_kg":"8 - 48","gender_distribution":{"males":186,"females":162}}

Digital Object Identifier (DOI)

10.1186/1475-2875-10-148

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