PMID- 24520365 OWN - NLM STAT- MEDLINE DCOM- 20141013 LR - 20220408 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 2 DP - 2014 TI - A school-based cross-sectional survey of adverse events following co-administration of albendazole and praziquantel for preventive chemotherapy against urogenital schistosomiasis and soil-transmitted helminthiasis in Kwale County, Kenya. PG - e88315 LID - 10.1371/journal.pone.0088315 [doi] LID - e88315 AB - BACKGROUND: Soil-transmitted helminths and schistosomiasis are mostly prevalent in developing countries due to poor sanitation and lack of adequate clean water. School-age children tend to be the target of chemotherapy-based control programmes because they carry the heaviest worm and egg burdens. The present study examines adverse events (AEs) experienced following co-administration of albendazole and praziquantel to school-age children in a rural area in Kwale County, Kenya. METHODS: Children were treated with single doses of albendazole and praziquantel tablets and then interviewed using a questionnaire for post treatment AEs. RESULTS: Overall, 752 children, 47.6% boys, participated in the study. Their median (interquartile range) age was 12.0 (10.0-14.0) years. A total of 190 (25.3%) children reportedly experienced at least one AE. In total, 239 cases of AEs were reported with the most frequent being abdominal pains (46.3%), dizziness (33.2%) and nausea (21.1%). Majority of the reported AEs (80.8%) resolved themselves while 12.1% and 6.3% were countered by, respectively, self-medication and visiting a nearby health facility. More girls (60.5%) than boys (39.5%) reported AEs (P = 0.027). CONCLUSIONS: The AEs were mild and transient, and were no worse than those expected following monotherapy. The current study adds to the evidence base that dual administration of albendazole and praziquantel in school-based mass drug administration is safe with only mild adverse events noted. FAU - Njenga, Sammy M AU - Njenga SM AD - Eastern and Southern Africa Centre of International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Mbagathi Road, Nairobi, Kenya. FAU - Ng'ang'a, Paul M AU - Ng'ang'a PM AD - Division of Vector-Borne Diseases & Neglected Tropical Diseases (DVBD-NTD), Ministry of Health, Nairobi, Kenya. FAU - Mwanje, Mariam T AU - Mwanje MT AD - Division of Vector-Borne Diseases & Neglected Tropical Diseases (DVBD-NTD), Ministry of Health, Nairobi, Kenya. FAU - Bendera, Fatuma S AU - Bendera FS AD - Environmental Health Department, Kwale County, Kenya. FAU - Bockarie, Moses J AU - Bockarie MJ AD - Centre for Neglected Tropical Diseases, Liverpool School of Tropical Medicine, Liverpool, United Kingdom. LA - eng GR - G1001337/MRC_/Medical Research Council/United Kingdom PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140210 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Anthelmintics) RN - 0 (Soil) RN - 6490C9U457 (Praziquantel) RN - F4216019LN (Albendazole) SB - IM MH - Adolescent MH - Albendazole/administration & dosage/adverse effects/*therapeutic use MH - Anthelmintics/administration & dosage/therapeutic use MH - Child MH - Cross-Sectional Studies MH - Drug Therapy MH - Drug Therapy, Combination MH - Female MH - *Health Surveys MH - Helminthiasis/*drug therapy/epidemiology/prevention & control MH - Humans MH - Kenya/epidemiology MH - Male MH - Praziquantel/administration & dosage/adverse effects/*therapeutic use MH - Schistosomiasis haematobia/*drug therapy/epidemiology/prevention & control MH - *Schools MH - Soil/*parasitology PMC - PMC3919734 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/02/13 06:00 MHDA- 2014/10/14 06:00 PMCR- 2014/02/10 CRDT- 2014/02/13 06:00 PHST- 2013/08/14 00:00 [received] PHST- 2014/01/06 00:00 [accepted] PHST- 2014/02/13 06:00 [entrez] PHST- 2014/02/13 06:00 [pubmed] PHST- 2014/10/14 06:00 [medline] PHST- 2014/02/10 00:00 [pmc-release] AID - PONE-D-13-34994 [pii] AID - 10.1371/journal.pone.0088315 [doi] PST - epublish SO - PLoS One. 2014 Feb 10;9(2):e88315. doi: 10.1371/journal.pone.0088315. eCollection 2014.