Evidence map›Paper›PMID 27448667›Full record

Trial reportMalaria journal2016

A cluster randomized trial comparing deltamethrin and bendiocarb as insecticides for indoor residual spraying to control malaria on Bioko Island, Equatorial Guinea.

John Bradley, Dianna Hergott, Guillermo Garcia, Jo Lines, Jackie Cook, Michel A Slotman, Wonder Philip Phiri, Christopher Schwabe, Immo Kleinschmidt

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Impact of insecticide resistance inProceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

John BradleyMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK. john.bradley@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-9449-4608
Dianna HergottMedical Care Development International, Silver Spring, MD, USA.
Guillermo GarciaMedical Care Development International, Silver Spring, MD, USA.
Jo LinesDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, UK.
Jackie CookMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Michel A SlotmanTexas A&M University, College Station, TX, USA.
Wonder Philip PhiriMedical Care Development International, Silver Spring, MD, USA.
Christopher SchwabeMedical Care Development International, Silver Spring, MD, USA.
Immo KleinschmidtMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Medical Care Development International · USLondon School of Hygiene & Tropical Medicine · GBTexas A&M University · USUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndoor residual spraying (IRS) has been used on Bioko for malaria control since 2004. In 2013 the insecticide was changed from bendiocarb to deltamethrin. Shortly after this change, there was a marked increase in malaria prevalence on the island. This trial was carried out to compare the effectiveness of bendiocarb and deltamethrin for use in IRS on Bioko.

methodsTwenty-four clusters of houses were randomized to receive IRS with either bendiocarb or deltamethrin. Approximately 3 months after the intervention, the prevalence of malaria and levels of haemoglobin were measured in children aged 2-14 years in each cluster.

resultsPrevalence of malaria in 2-14 year olds was lower in the bendiocarb arm (16.8, 95 % CI 11.1-24.7, N = 1374) than in the deltamethrin arm (23.2, 95 % CI 16.0-32.3, N = 1330) but this difference was not significant (p = 0.390), even after adjusting for covariates (p = 0.119). Mean haemoglobin in children was marginally higher in the bendiocarb clusters (11.6 g/dl, 95 % CI 11.5-11.8, N = 1326) than in the deltamethrin clusters (11.5 g/dl, 95 % CI 11.3-11.7, N = 1329). This difference was borderline significant after adjusting for covariates (p = 0.049).

conclusionsThe results are suggestive of bendiocarb being more effective at preventing malaria on Bioko although evidence for this was weak. The results are likely due to the fact that local vectors remain fully susceptible to bendiocarb whereas subsequent tests have shown resistance to deltamethrin.

Indexed as

AerosolsAdolescentChildChild, PreschoolEquatorial GuineaFemaleHemoglobinsHumansInsecticidesIslandsMalariaMaleMosquito ControlNitrilesPhenylcarbamatesPrevalenceAerosolsbendiocarbdecamethrinHemoglobinsInsecticidesNitrilesPhenylcarbamatesPyrethrins

Identifiers

PMID27448667
PMCPMC4957409
OpenAlexW2484083059

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.