Increasing Prevalence of Artemisinin-Resistant HRP2-Negative Malaria in Eritrea.
Humans
Amodiaquine
/ administration & dosage
Antimalarials
/ pharmacology
Artemether, Lumefantrine Drug Combination
/ pharmacology
Artemisinins
/ administration & dosage
Drug Resistance
/ genetics
Eritrea
/ epidemiology
Malaria, Falciparum
/ drug therapy
Plasmodium falciparum
/ drug effects
Prevalence
Journal
The New England journal of medicine
ISSN: 1533-4406
Titre abrégé: N Engl J Med
Pays: United States
ID NLM: 0255562
Informations de publication
Date de publication:
28 Sep 2023
28 Sep 2023
Historique:
medline:
28
9
2023
pubmed:
27
9
2023
entrez:
27
9
2023
Statut:
ppublish
Résumé
Although the clinical efficacy of antimalarial artemisinin-based combination therapies in Africa remains high, the recent emergence of partial resistance to artemisinin in In this study, we used data from drug-efficacy studies conducted between 2016 and 2019 that evaluated 3-day courses of artemisinin-based combination therapy (artesunate-amodiaquine or artemether-lumefantrine) for uncomplicated malaria in Eritrea to estimate the percentage of patients with day-3 positivity (i.e., persistent We noted an increase in the percentage of patients with day-3 positivity from 0.4% (1 of 273) in 2016 to 1.9% (4 of 209) in 2017 and 4.2% (15 of 359) in 2019. An increase was also noted in the prevalence of the The emergence and spread of
Sections du résumé
BACKGROUND
BACKGROUND
Although the clinical efficacy of antimalarial artemisinin-based combination therapies in Africa remains high, the recent emergence of partial resistance to artemisinin in
METHODS
METHODS
In this study, we used data from drug-efficacy studies conducted between 2016 and 2019 that evaluated 3-day courses of artemisinin-based combination therapy (artesunate-amodiaquine or artemether-lumefantrine) for uncomplicated malaria in Eritrea to estimate the percentage of patients with day-3 positivity (i.e., persistent
RESULTS
RESULTS
We noted an increase in the percentage of patients with day-3 positivity from 0.4% (1 of 273) in 2016 to 1.9% (4 of 209) in 2017 and 4.2% (15 of 359) in 2019. An increase was also noted in the prevalence of the
CONCLUSIONS
CONCLUSIONS
The emergence and spread of
Identifiants
pubmed: 37754284
doi: 10.1056/NEJMoa2210956
pmc: PMC10539021
mid: NIHMS1919039
doi:
Substances chimiques
Amodiaquine
220236ED28
amodiaquine, artesunate drug combination
0
Antimalarials
0
Artemether, Lumefantrine Drug Combination
0
Artemisinins
0
HRP-2 antigen, Plasmodium falciparum
0
HRP3 protein, Plasmodium falciparum
0
Banques de données
ANZCTR
['ACTRN12618001223224', 'ACTRN12618000353291', 'ACTRN12619000859189']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1191-1202Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : NIAID NIH HHS
ID : R01 AI109023
Pays : United States
Organisme : NIH HHS
ID : R01 AI109023
Pays : United States
Informations de copyright
Copyright © 2023 Massachusetts Medical Society.
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