Diarrhea Clinical Trial
Official title:
Clinical Effectiveness and Preventive Impact of Home Zinc Treatment for Acute Diarrhea in Children: A Cluster-randomized Field Trial in Rural Western Kenya
Background. Zinc deficiency is common in Africa. It has been shown in Asia that zinc as
treatment for diarrhea can shorten the course of episodes of diarrhea, as well as prevent
future episodes. The use of zinc at home to treat diarrhea in an African setting, where
malaria, HIV and malnutrition are common, has not been well-studied.
Objective. To evaluate if zinc treatment for diarrhea given at home in Kenyan children will
decrease the community prevalence of diarrhea more than zinc given only in the clinic Work
planned. We propose to do a community-randomized intervention study of 10 days of
dispersible zinc tablets given in the home, in addition to ORS, to treat diarrhea in
children under-5 years of age living in a rural part of Bondo District. The comparison group
will be children who receive zinc and ORS in the clinic only. The primary outcome will be a
comparison of the prevalence of diarrhea in home zinc versus nonhome zinc villages.
Secondary outcomes will be the incidence of repeat episodes of diarrhea, the duration of
diarrheal illness, the prevalence of acute respiratory infection, and the effect of malaria
infection on treatment with zinc. Thirty-three villages (approximately 1300 children) will
be enrolled and children will be followed for 1 year.
Significance of results. If this study shows zinc given at home to be effective, this might
be considered by the Kenyan MOH as an essential component of the treatment of diarrhea in
children at the community level.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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