Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Effectiveness of Oral Antibiotics in the Community-based Treatment of Severe Acute Malnutrition in Malawian Children
Overview
- Phase
- Not Applicable
- Intervention
- Placebo
- Conditions
- Kwashiorkor
- Sponsor
- Washington University School of Medicine
- Enrollment
- 2700
- Locations
- 1
- Primary Endpoint
- nutritional recovery
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The need for oral antibiotics as part of the case management of severe acute malnutrition (SAM) in the outpatient setting has not been studied in a prospective trial. This study will compare the recovery rates of children with SAM treated at home with locally-produced ready-to-use therapeutic food (RUTF) with and without prescribed antibiotics as part of their outpatient case management. The investigators hypothesize that there will be no significant difference in rates of recovery between children who receive and children who do not receive antibiotics.
Investigators
Eligibility Criteria
Inclusion Criteria
- •6 months - 5 years old
- •Kwashiorkor or Marasmus
- •Qualifies for home-based therapeutic feeding with RUTF
Exclusion Criteria
- •Obvious congenital or other malformation that makes child a poor candidate for home-based feeding with RUTF
- •Unable to consume test-dose of RUTF in clinic
- •Parent refusal to participate and return for follow-up
Arms & Interventions
Placebo
Intervention: Placebo
Amoxicillin
Intervention: Amoxicillin
cefdinir
cefdinir
Intervention: Cefdinir
Outcomes
Primary Outcomes
nutritional recovery
Time Frame: 12 weeks
Secondary Outcomes
- weight gain(12 weeks)