単回投与フェノバルビトンは,脳マラリアにおけるを予防します
N J White1, S Looareesuwan, R E Phillips
1Bangkok Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Thailand.
Lancet (London, England)
|July 9, 1988
まとめ
単一のフェノバルビトンの注射は,脳マラリアの小児におけるを効果的に予防します. このシンプルで費用対効果の高い治療法により,臨床試験において,有害な影響なしに発作の発生率が著しく低下しました.
科学分野:
- 小児神経学について
- 感染症 感染症は感染症です.
- 臨床薬理学 臨床薬理学とは
背景:
- 脳性マラリアはマラリアの重篤な合併症であり,特に小児では発生します.
- 発作は,脳マラリアの常見かつ危険な神経学的症状である.
研究 の 目的:
- 脳性マラリアの小児患者において,フェノバルビトンの単発筋内注射が,その後のを予防する効果を評価する.
主な方法:
- 厳格に定義された脳マラリアの48人の小児患者 (年齢>6歳) を対象としたダブルブラインド,プラセボ対照試験です.
- 患者はフェノバルビトーン (3.5 mg/kg) の単発筋内注射またはプラセボを受けた.
主要な成果:
- フェノバルビトンは,プラセボ群の54%からフェノバルビトーン群の12.5%に続く発作の発生率を著しく減少させた.
- 単回の肌内フェノバルビトンの注射で有害な影響は報告されていません.
結論:
- フェノバルビトンの単一の筋肉内注射は,脳マラリアの発作を予防するための安全で効果的な方法です.
- この介入は,小児マラリアの重度の神経学的合併症を緩和するための低コストの戦略を提供します.
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