Efficacy of amodiaquine in the treatment of uncomplicated falciparum malaria in young children of rural north-western Burkina FasoReport as inadecuate




Efficacy of amodiaquine in the treatment of uncomplicated falciparum malaria in young children of rural north-western Burkina Faso - Download this document for free, or read online. Document in PDF available to download.

Malaria Journal

, 7:58

First Online: 17 April 2008Received: 03 December 2007Accepted: 17 April 2008

Abstract

BackgroundCombination 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.

MethodsThe 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.

ResultsDuring 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.

ConclusionCompared to chloroquine, amodiaquine is more effective against uncomplicated falciparum malaria in Burkina Faso. However, a considerable degree of amodiaquine resistance already exists and it is currently unclear how this resistance will develop when amodiaquine in combination with other drugs is used on a large scale.

Trial registrationCurrent Controlled Trials ISRCTN73824458.

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Author: Germain Mandi - Frank P Mockenhaupt - Boubacar Coulibaly - Peter Meissner - Olaf Müller

Source: https://link.springer.com/



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