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High Efficacy of Two Artemisinin-Based Combinations (Artesunate + Amodiaquine and Artemether + Lumefantrine) in Caala, Central Angola.

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dc.contributor Epicentre, Paris, France; Médecins Sans Frontières, Paris, France. jguthmann@epicentre.msf.org
dc.creator Guthmann, J P
dc.creator Cohuet, S
dc.creator Rigutto, C
dc.creator Fortes, F
dc.creator Saraiva, N
dc.creator Kiguli, J
dc.creator Kyomuhendo, J
dc.creator Francis, M
dc.creator Noël, F
dc.creator Mulemba, M
dc.creator Balkan, S
dc.date 2006-07
dc.date.accessioned 2017-01-31T07:09:28Z
dc.date.available 2017-01-31T07:09:28Z
dc.identifier High Efficacy of Two Artemisinin-Based Combinations (Artesunate + Amodiaquine and Artemether + Lumefantrine) in Caala, Central Angola. 2006, 75 (1):143-5 Am. J. Trop. Med. Hyg.
dc.identifier 0002-9637
dc.identifier 16837721
dc.identifier http://hdl.handle.net/10144/17676
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/17676
dc.identifier American Journal of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/17676
dc.description 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.
dc.language en
dc.publisher Published by: American Society of Tropical Medicine and Hygiene
dc.relation http://www.ajtmh.org
dc.rights Archived on this site with the kind permission of the American Society of Tropical Medicine and Hygiene, www.astmh.org
dc.title High Efficacy of Two Artemisinin-Based Combinations (Artesunate + Amodiaquine and Artemether + Lumefantrine) in Caala, Central Angola.


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