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Safety of 8-aminoquinolines given to people with G6PD deficiency: protocol for systematic review of prospective studies
  1. Olalekan A Uthman1,2,
  2. Rachel Saunders2,
  3. David Sinclair2,
  4. Patricia Graves3,
  5. Hellen Gelband4,
  6. Aileen Clarke1,
  7. Paul Garner2
  1. 1Division of Health Sciences, Warwick—Centre for Applied Health Research and Delivery (WCAHRD), Warwick Medical School, University of Warwick, Coventry, UK
  2. 2Cochrane Infectious Diseases Group, Liverpool School of Tropical Medicine, Liverpool, UK
  3. 3School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Cairns, Australia
  4. 4Center for Disease Dynamics, Economics & Policy, Washington, District of Columbia, USA
  1. Correspondence to Dr Olalekan A Uthman; olalekan.uthman{at}warwick.ac.uk

Abstract

Introduction A single dose or short course of primaquine given to people infected with malaria may reduce transmission of Plasmodium falciparum through its effects on gametocytes. Primaquine is also known to cause haemolysis in people with variants of glucose-6-phosphate dehydrogenase (G6PD) deficiency. The objective of this systematic review was to assess the risk of adverse effects in people with G6PD deficiency given primaquine or other 8-aminoquinoline (8AQ) as a single dose or short course (less than 7 days).

Methods and analysis We will search the following databases: Cochrane Infectious Diseases Group Specialized Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE and LILACS. Prospective cohort studies, randomised and quasi-randomised trials that evaluated 8AQs for whatever reason in adults or children with a known G6PD deficiency will be included. Two authors will independently assess each study for eligibility, risk of bias and extract data.

Ethics and dissemination This systematic review will be published in a peer-reviewed journal. Brief reports of the review findings will be disseminated directly to the appropriate audiences and the WHO Technical Expert Group in Malaria Chemotherapy. As no primary data collection will be undertaken, no additional formal ethical assessment and informed consent are required.

Protocol registration in PROSPERO The protocol is registered with PROSPERO, registration number CRD42013006518.

  • Preventive Medicine
  • Public Health
  • Infectious Diseases

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/

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