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parasite reduction ratio one day after initiation of artemisinin-based combination therapies and its relationship with parasite clearance time in acutely malarious children

引用

Infectious Diseases of Poverty 2018年第1期7卷 1270-1283页

作者： Kazeem Akano Godwin Ntadom Chimere Agomo Christian T.Happi Onikepe A.Folarin Grace O.Gbotosho Olugbenga Mokuolu Finomo Finomo Joy C.Ebenebe Nma Jiya Jose Ambe Robinson Wammanda George Emechebe Oluwabunmi K.Basorun Olubunmi A.Wewe Sikiru Amoo Nnenna Ezeigwe Stephen Oguche Bayo Fatunmbi Akintunde Sowunmi Department of Pharmacology and Therapeutics University of IbadanIbadanNigeria Antimalarial Therapeutic Efficacy Monitoring Group National Malaria Elimination ProgrammeThe Federal Ministry of HealthAbujaNigeria Department of Medical Laboratory Science University of LagosLagosNigeria Department of Biological Sciences and African Centre of Excellence for Genomics of Infectious Diseases(ACEGID) Redeemer UniversityEdeNigeria Institute for Medical Research and Training University of IbadanIbadanNigeria Department of Pharmacology and Toxicology Faculty of PharmacyUniversity of IbadanIbadanNigeria Department of Paediatrics University of IlorinIlorinNigeria Department of Paediatrics Federal Medical CentreYenagoaNigeria Department of Paediatrics Nnamdi Azikiwe UniversityAwkaNigeria Department of Paediatrics Uthman Dan Fodio UniversitySokotoNigeria Department of Paediatrics University of MaiduguriMaiduguriNigeria Department of Paediatrics Ahmadu Bello UniversityZariaNigeria Department of Paediatrics Imo State University Teaching HospitalOrluNigeria Department of Paediatrics University of JosJosNigeria World Health Organization Country OfficeKampalaUganda

Background:In acute falciparum malaria,asexual parasite reduction ratio two days post-treatment initiation(PRRD2)≥10000 per cycle has been used as a measure of the rapid clearance of parasitaemia and efficacy of artemisinin ***,there is little evaluation of alternative measures;for example,parasite reduction ratio one day after treatment initiation(PRRD1)and its relationship with parasite clearance time(PCT)or *** study evaluated the use of PRRD1 as a measure of responsiveness to antimalarial ***:In acutely malarious children treated with artesunate-amodiaquine(AA),artemether-lumefantrine(AL)or dihydroartemisinin-piperaquine(DHP),the relationships between PRRD1 or PRRD2 and PCT,and between PRRD1 and PRRD2 were evaluated using linear *** between estimates of PCT using PRRD1 and PRRD2 linear regression equations was evaluated using the Bland-Altman *** of PRRD1>5000 per half cycle and PRRD2≥10000 per cycle were evaluated using stepwise multiple logistic regression *** the linear regression equation of the relationship between PRRD1 and PCT previously generated in half of the DHP-treated children during the early study phase,PCT estimates were compared in a prospective blinded manner with PCTs determined by microscopy during the later study phase in the remaining ***:In 919 malarious children,PRRD1 was significantly higher in DHP-and AA-treated compared with AL-treated children(P15months,parasitaemia>10000/μl and DHP treatment independently predicted PRRD1>5000 per half cycle,while age>30months,haematocrit≥31%,body temperature>37.4°C,parasi

关键词： Falciparum malaria Artemisinin-based combination therapies parasite clearance Children Nigeria

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