维瓦克斯的疟疾耐药治疗和预防用黄素
1US Naval Medical Research Unit No 2, Jakarta, Indonesia.
Lancet (London, England)
|January 9, 1993
概括
在印度尼西亚,Plasmodium vivax疟疾的诺基因耐药性正在出现. 在该地区,氨酸不再有效治疗或预防活疟疾,特别是在幼儿中.
科学领域:
- 热带医学 热带医学
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 四十多年来,诺基因一直是活疟疾的标准治疗方法.
- 最近的病例报告表明,在巴布亚新几内亚和印度尼西亚的Plasmodium vivax中出现了对的耐药性.
研究的目的:
- 评估克洛洛奎因治疗和预防Plasmodium vivax感染的疗效. 印度尼西亚Irian Jaya.
主要方法:
- 预期治疗试验涉及46名村民,他们患有P. vivax寄生病,并接受了洛昆治疗.
- 随访14天,监测寄生虫清除和复发情况.
- 预防性试验,每周给那些清除了初始感染的受试者服用.
主要成果:
- 所有受试者都出现了最初的寄生虫清除,但22%的受试者在14天内出现了复发.
- 在4岁以下的儿童中,复发率最高 (70%的失败率).
- 黄素预防无效,53%的受试者在8周内患上寄生病.
结论:
- 在新几内亚这个地区,黄素不再是P. vivax疟疾的可靠治疗方法.
- 氨酸化学预防也对在Irian Jaya获得的P. vivax感染无效.
- 新兴的氨酸耐药性需要替代疟疾控制策略.
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