The efficacy of chloroquine for the treatment of acute, uncomplicated, Plasmodium falciparum malaria in Laos

2002; Maney Publishing; Volume: 96; Issue: 6 Linguagem: Inglês

10.1179/000349802125001654

ISSN

1364-8594

Autores

J.-P. Guthmann, Saro Kasparian, Rattanaxay Phetsouvanh, N. Nathan, Miguel García, S. Phompida, A Brockman, M. Gastellu, Dominique Legros,

Tópico(s)

Venomous Animal Envenomation and Studies

Resumo

To assess the local efficacy of chloroquine for the treatment of acute, uncomplicated, Plasmodium falciparum malaria, children and adults from Sekong province (an area of Laos with a low intensity of transmission) were tested in a 28-day, in-vivo study. Complete data were collected from 88 of the 102 subjects enrolled between October 1999 and September 2000. After genotypic analysis to distinguish recrudescing infections from re-infections, 35 (39.7%, with a 95% confidence interval of 29.5%-50.7%) of these 88 patients were considered treatment failures. These results seriously question the use of chloroquine as the first-line treatment for P. falciparum malaria in the study area.

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