critical appraisal of journal articles about oral ivermectin versus malathion lotion for...
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8/3/2019 Critical Appraisal of Journal Articles About Oral Ivermectin Versus Malathion Lotion for Difficult-Print
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What are the results?
Therapy
How large was the treatment effect?
Absolute Risk Reduction/ Relative Risk
Reduction/ Number Needed to Treat
Analysis of the primary end point in the intention to-treat population, accordi
to the last-observation-carried-forward approach, showed that on day 15, 378
the 397 patients (95.2%) in the ivermectin group were free of head lice, compared with 352 of the 414 patients (85.0%) in the malathion gro
(absolute difference, 10.2 percentage points; 95% confidence interval [C
4.6 to 15.7; P
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Will the results help me in my patient care?
Therapy
Were all clinically relevant outcomesconsidered?
Yes,Analysis of the primary end point in the intention to-treat population, according to the last-observation-carried-forward
approach, showed that on day 15, 378 of the 397 patients (95.2%)
in the ivermectin group were free of head lice, as compared with
352 of the 414 patients (85.0%) in the malathion group (absolute
difference, 10.2 percentage points; 95% confidence interval [CI],
4.6 to 15.7; P
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In the general population, approximately 45 million people in
more than 30 countries have received 150 million doses of
ivermectin35 with no reported severe adverse events, although thedose was lower than that used to eradicate head lice in this study.
(Discussion, page 904).
Yogyakarta, 19 November 2011
Ko-Asisten, Preceptor,
Irmawati Masyhuda dr. Nafiah Chusniyati, Sp. KK,
M.Sc
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