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Comparison of Generic and Proprietary Sodium Stibogluconate for the Treatment of Visceral Leishmaniasis in Kenya.

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dc.contributor Médecins Sans Frontières-Holland (MSF-H) Kala-azar Programme, South Sudan/Kenya.
dc.creator Moore, E
dc.creator O'Flaherty, D
dc.creator Heuvelmans, H
dc.creator Seaman, J
dc.creator Veeken, H
dc.creator de Wit, S
dc.creator Davidson, R N
dc.date 2001
dc.date.accessioned 2017-01-31T07:09:16Z
dc.date.available 2017-01-31T07:09:16Z
dc.identifier Comparison of Generic and Proprietary Sodium Stibogluconate for the Treatment of Visceral Leishmaniasis in Kenya. 2001, 79 (5):388-93 Bull. World Health Organ.
dc.identifier 0042-9686
dc.identifier 11417033
dc.identifier http://hdl.handle.net/10144/17263
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/17263
dc.identifier Bulletin of the World Health Organization
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/17263
dc.description OBJECTIVE: To compare the use of generic and proprietary sodium stibogluconate for the treatment of visceral leishmaniasis (kala-azar). METHODS: A total of 102 patients with confirmed kala-azar were treated in a mission hospital in West Pokot region, Kenya, with sodium stibogluconate (20 mg/kg/day for 30 days)--either as Pentostam (PSM) or generic sodium stibogluconate (SSG); 51 patients were allocated alternately to each treatment group. FINDINGS: There were no significant differences in baseline demographic characteristics or disease severity, or in events during treatment. There were 3 deaths in the PSM group and 1 in the SSG group; 2 patients defaulted in each group. Only 1 out of 80 test-of-cure splenic aspirates was positive for Leishmania spp.; this patient was in the SSG group. Follow-up after > or = 6 months showed that 6 out of 58 patients had relapsed, 5 in the SSG group and 1 in the PSM group. No outcome variable was significantly different between the two groups. CONCLUSION: The availability of cheaper generic sodium stibogluconate, subject to rigid quality controls, now makes it possible for the health authorities in kala-azar endemic areas to provide treatment to many more patients in Africa.
dc.language en
dc.publisher Published by WHO
dc.relation http://www.who.int/bulletin/en
dc.rights Archived on this site with permission of WHO
dc.title Comparison of Generic and Proprietary Sodium Stibogluconate for the Treatment of Visceral Leishmaniasis in Kenya.


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