クロロクイン耐性プラズモジアムマラリア (Plasmodium malariae) がインドネシアのスマトラ南部で発見されました
Jason D Maguire1, Iwa W Sumawinata, Sofyan Masbar
1United States Naval Medical Research Unit #2, Jakarta, Indonesia. maguirejd@namru2.med.navy.mil
Lancet (London, England)
|July 13, 2002
まとめ
プラズモディウムマラリアのクロロクイン耐性が生じています. インドネシアでのこの研究では,薬物濃度が適切であった場合でも,クロロクインに対する臨床耐性の証拠が見つかり,公衆衛生上の懸念が高まっていることを示しています.
科学分野:
- トロピカル・メディシンは,熱帯医学です.
- 感染症 感染症は感染症です.
- 寄生虫学とは,寄生虫学である.
背景:
- クロロクインは,プラズモディウムマラリア感染の標準治療法です.
- 新興薬剤耐性症は,マラリア対策の取り組みに重大な脅威をもたらしています.
研究 の 目的:
- プラズモディウムマラリア感染の治療におけるクロロキンのインビボ有効性を評価する.
- インドネシアのP. malariaeの潜在的なクロロクイン耐性を調査する.
主な方法:
- 28人のP. malariae感染患者の28日間の前向きな研究.
- 寄生性のモニタリングと全血中クロロクインとデセチルクロロクイン濃度の測定.
主要な成果:
- 2人の患者は8日目までに持続性寄生性血症を発症した.
- 1人の患者は28日目までに再発性寄生性血症を発症しました.
- 持続的な寄生病血症の患者に適切な薬剤濃度が観察されました.
結論:
- クロロクインに対するプラズモディウムマラリアの臨床耐性は,東南アジアで発生しています.
- この発見は,この地域のマラリア治療戦略に影響を及ぼします.
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