Efficacy of Single-Dose and Triple-Dose Albendazole and Mebendazole against Soil-Transmitted Helminths and Taenia spp.: A Randomized Controlled Trial
2011

Effectiveness of Single-Dose vs Triple-Dose Albendazole and Mebendazole for Treating Soil-Transmitted Helminths

Sample size: 314 publication 10 minutes Evidence: high

Author Information

Author(s): Steinmann Peter, Utzinger Jürg, Du Zun-Wei, Jiang Jin-Yong, Chen Jia-Xu, Hattendorf Jan, Zhou Hui, Zhou Xiao-Nong

Primary Institution: Swiss Tropical and Public Health Institute, Basel, Switzerland

Hypothesis

Is triple-dose treatment more effective than single-dose treatment for soil-transmitted helminths?

Conclusion

Single-dose oral albendazole is more effective against hookworm than mebendazole, and triple-dose regimens are necessary for high cure rates against both hookworm and T. trichiura.

Supporting Evidence

  • Albendazole cured significantly more hookworm infections than mebendazole.
  • Triple-dose regimens outperformed single doses against T. trichiura.
  • Both drugs were highly efficacious against A. lumbricoides.
  • Triple-dose treatment cured all Taenia spp. infections.

Takeaway

This study found that taking more doses of medicine can help get rid of worms in your belly better than just one dose.

Methodology

A community-based randomized controlled trial comparing single-dose and triple-dose treatments in 314 individuals aged 5 years and older.

Potential Biases

Open-label design may introduce bias, although outcome assessors were blinded.

Limitations

The study was conducted in a single village, which may limit the generalizability of the findings.

Participant Demographics

Participants were aged 5 years and older, with a comparable composition of sex and age across treatment groups.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI: 55–81%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0025003

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