Efficacy of amodiaquine in the treatment of uncomplicated falciparum malaria in young children of rural north-western Burkina Faso.

Malaria Journal
Germain MandiO Müller

Abstract

Combination therapy has become a new paradigm in malaria treatment. Amodiaquine is a common partner drug in different malaria combination therapies used or investigated in sub-Saharan Africa, but data on its efficacy as a single drug are scarce. The objective of the study was to determine the efficacy of amodiaquine against falciparum malaria in neighbouring rural and urban areas of north-western Burkina Faso. The study was designed as an uncontrolled trial in children aged 6-59 months with uncomplicated falciparum malaria in the Nouna Health District. During the rainy season 2005, 117 children were enrolled, 62 from the rural and 55 from the urban study area. The crude adequate clinical and parasitological response (ACPR) rate was 103/117 (88%) by day 14 but decreased to 28/117 (24%) by day 28. After PCR correction for reinfections, ACPR rates were 108/117 (92%) and 71/117 (61%) by day 14 and day 28, respectively. There were no significant differences in efficacy between urban and rural areas. The Plasmodium falciparum crt K76T mutation not predict AQ failure, but was selected in parasites re-appearing following treatment. No serious adverse events occurred and only 16 other adverse events were recorded. Compared to chloroquin...Continue Reading

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Sep 8, 2009·Transactions of the Royal Society of Tropical Medicine and Hygiene·Bertrand GrazDrissa Diallo
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Jun 14, 2013·Malaria Journal·Jean-Claude BerthélemyJean Gaudart

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Methods Mentioned

BETA
PCR
genotyping

Software Mentioned

SAS

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