High Efficacy of Two Artemisinin-Based Combinations (Artesunate + Amodiaquine and Artemether + Lumefantrine) in Caala, Central Angola.
Authors
Guthmann, J PCohuet, S
Rigutto, C
Fortes, F
Saraiva, N
Kiguli, J
Kyomuhendo, J
Francis, M
Noël, F
Mulemba, M
Balkan, S
Affiliation
Epicentre, Paris, France; Médecins Sans Frontières, Paris, France. jguthmann@epicentre.msf.orgIssue Date
2006-07
Metadata
Show full item recordAbstract
In April 2004, 137 children 6-59 months of age with uncomplicated Plasmodium falciparum (Pf) malaria (Caala, Central Angola) were randomized to receive either artemether-lumefantrine (Coartem) or artesunate + amodiaquine (ASAQ). After 28 days of follow-up, there were 2/61 (3.2%) recurrent parasitemias in the Coartem group and 4/64 (6.2%) in the ASAQ group (P = 0.72), all classified as re-infections after PCR genotyping (cure rate = 100% [95%CI: 94-100] in both groups). Only one patient (ASAQ group) had gametocytes on day 28 versus five (Coartem) and three (ASAQ) at baseline. Compared with baseline, anemia was significantly improved after 28 days of follow-up in both groups (Coartem: from 54.1% to 13.4%; ASAQ: from 53.1% to 15.9%). Our findings are in favor of a high efficacy of both combinations in Caala. Now that Coartem has been chosen as the new first-line anti-malarial, the challenge is to insure that this drug is available and adequately used.PubMed ID
16837721Additional Links
http://www.ajtmh.orgLanguage
enISSN
0002-9637Collections
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