From: Artemisinin derivatives versus quinine in treating severe malaria in children: a systematic review
Reference | Participants | Interventions (drugs, route of administration and treatment duration) | Outcomes |
---|---|---|---|
[8] | 54 children aged 1 to 5 years in Nigeria | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time, 28th day cure rate, adverse effects & neurological sequelae |
 |  | (2) IV Quinine 20 mg/kg loading dose then 10 mg 8 hrly for 7 days. This was changed to oral dose when patient was able to drink |  |
[9] | 160 children aged 5 month to 12 years in Kenya | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for 2 days. One dose of SP was given after parasite clearance. | Mortality, parasite clearance time, fever clearance time, coma resolution time, adverse effects & neurological sequelae |
 |  | (2) IV Quinine 20 mg/kg loading dose then 10 mg 8 hrly for at least 3 days. Then one dose of SP was given after parasites clearance and when the patient was able to drink |  |
[10] | 576 children aged 1 to 9 years in Gambia | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for 3 days | Mortality, parasite clearance time, fever clearance time, coma resolution time, 28th day cure rate, adverse effects & neurological sequelae |
 |  | (2) IM Quinine 20 mg/kg loading dose then 10 mg 8 hrly for 5 days. This was changed to oral dose when the patient was able to drink |  |
[11] | 72 children aged 3 months to 14 years in Vietnam | (1) IM Artesunate 3 mg/kg initially and 2 mg/kg at 12, 24,48 and 72 hrs, followed by oral mefloquine 15 mg/kg at 96 hours | Mortality, parasite clearance time, fever clearance time, coma resolution time, duration of hospital stay, adverse effects & neurological sequelae |
 |  | (2) IM Quinine 20 mg/kg loading dose then 10 mg 8 hrly for 7 days, followed by single dose of pyrimethamine/sulfadoxine on day 7 |  |
[12] | 164 children in Malawi (age range not stated) | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time, coma resolution time, 28th day cure rate, adverse effects & neurological sequelae |
 |  | (2) IV Quinine(20 mg/kg loading dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[13] | 37 children in Nigeria (age range not stated) | (1) IM Artemether 3.2 mg/kg starting dose, then 1.6 mg/kg 12 hours later, then 1.6 mg/kg per day for 2 days | Mortality, percentage of children with parasites clearance at day 7, fever clearance time, coma resolution time & neurologic sequelae |
 |  | (2) IV Quinine 10 mg/kg initial dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[14] | 103 children aged 1 to 5 years in Nigeria | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time, 28th day cure rate & neurological sequelae |
 |  | (2) IV Quinine 20 mg/kg loading dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[15] | 92 children aged 0–10 years in Zambia | (1) IM β-Arteether 3.2 mg/kg in the first day, then 1.6 mg/kg for next 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time, adverse effects & neurological sequelae |
 |  | (2) IV Quinine (20 mg/kg loading dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[16] | 102 children aged 0–10 years in Cameroon | (1) IM β-Arteether 3.2 mg/kg in the first day, then 1.6 mg/kg for 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time, adverse effects, 28th cure rate & neurological sequelae |
 |  | (2) IV Quinine 20 mg/kg loading dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[17] | 41 children in Sudan (age range not stated) | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for t 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time & adverse effects |
 |  | (2) IV Quinine 20 mg/kg loading dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[18] | 77 children aged 3 months to 15 years in Sudan | (1) IM Artemether 1.6 mg/kg, repeated after 12 hrs, then daily for 4 days | Mortality, parasite clearance time, fever clearance time, coma resolution time & 28th day cure rate |
 |  | (2) IV Quinine 10 mg/kg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |
[19] | 46 children aged 0–14 years from India | (1) IM Artemether 3.2 mg/kg in the first day, then 1.6 mg/kg for 5 days | Mortality, parasite clearance time, fever clearance time, coma resolution time & adverse effects |
 |  | (2) IV Quinine (20 mg/kg loading dose then 10 mg 8 hrly for 7 days, changed to oral dose when patient was able to drink |  |