From: Intrarectal quinine for treating Plasmodium falciparum malaria: a systematic review
Reference | Participants | Quinine: routes of administration and doses* | Outcomes |
---|---|---|---|
[20] | 21 children aged 2 to 14 years in Niger | (1) Intrarectal (8 mg/kg; gluconate cream) (2) Intramuscular (4.7 mg/kg) (3) Intravenous (4.7 mg/kg) All 8 hourly for 3 days | Death, parasite clearance by day 7, adverse events |
[24] | 66 children aged 2 to 15 years in Niger | (1) Intrarectal (11.8 mg/kg; given as Quinimax® diluted with water in a syringe) (2) Intravenous (7.4 mg/kg) (3) Intramuscular (7.4 mg/kg) All 12 hourly for 3 days | Death, parasite clearance time, parasite clearance by day 7, fever clearance time, adverse events |
[25] | 77 children aged 2 to 15 years in Niger | (1) Intrarectal (11.8 mg/kg once then 8.8 mg/kg 8 hourly for 2 days; Quinimax® solution diluted in water via a syringe) (2) Intravenous (4.7 mg/kg 8 hourly for 2 days) | Death, parasite clearance time, fever clearance time, days in hospital, coma recovery time, time until drinking began, adverse events |
[26] | 48 children aged 2 to 15 years in Burkina Faso | (1) Intrarectal (bichlorhydrate diluted in a syringe) (2) Intrarectal (cinchona alkaloid diluted in a syringe) (3) Intravenous (bichlorhydrate) (4) Intravenous (cinchona alkaloid) All 8 mg/kg quinine 8 hourly for 2 days | Parasite clearance by 48 hours and 7 days |
[27] | 15 children aged 2 to 14 years in Niger | (1) Intravenous (4.74 mg/kg) (2) Intramuscular (4.74 mg/kg) (3) Intrarectal (11.85 mg/kg) All single dose | Death, parasite clearance by day 7, adverse events |
[28] | 64 children aged 0 to 15 years in Togo | (1) Intrarectal (15 mg/kg: Quinimax® solution diluted in a syringe) (2) Intramuscular (12.5 mg/kg) Both 12 hourly for 3 days | Death, parasite clearance by day 2, adverse events |
[29] | 58 children aged 2 to 15 years in Niger | (1) Intrarectal (17.9 mg/kg once, then 11.75 mg/kg 12 hourly; Quinimax® diluted in a syringe (2) Intramuscular (7.5 mg/kg 12 hourly) | Death, fever clearance time, duration of hospitalization, coma recovery time |
[30] | 898 children aged 1 to 15 in Burkina Faso | (1) Intrarectal (20 mg/kg; Quinimax® diluted in a syringe) (2) Intramuscular (12.5 mg/kg) Both 12 hourly for 3 days | Death, fever clearance time, adverse events |