喀麦隆Edea镇恶性疟原虫对阿莫地喹的体内敏感性

F Macaigne, A Combe, P Vincendeau, J Eboumbou, T Garnier, R Michel, C Ripert
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引用次数: 0

摘要

在恶性疟疾高度流行的Edea镇,对6至12岁的学龄儿童进行了当地疟原虫菌株对阿莫地喹敏感性的体内研究:184名血液中有寄生虫但尿液中没有氯喹的儿童口服阿莫地喹。在96名每公斤体重服用35毫克阿莫地喹的儿童中,在3天治疗结束后的第二天,血液中没有寄生虫(第一天15毫克/公斤体重,第二天12毫克/公斤,第三天8毫克/公斤)。73例患儿服用阿莫地喹碱注射液27 mg/kg体重,实验第7天寄生虫清除率达93%。15例患儿仅服用阿莫地喹基础剂15mg /kg体重,寄生虫清除率达54%。在使用剂量下,阿莫地喹通常耐受性良好。在184名接受治疗的儿童中,只有9名儿童出现结膜充血的继发性反应,但这种副反应在治疗结束后很快消失。在阿莫地喹治疗过程中,血中转氨酶水平没有改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[In vivo sensitivity of Plasmodium falciparum to amodiaquine in the town of Edea (Cameroon)].

In the town of Edea, where falciparum malaria is hyperendemic, an in vivo study of amodiaquine sensitivity of the local strain of the parasite is performed in school children 6 to 12 years of age: 184 children with parasites in their blood and no chloroquine in their urine are given amodiaquine orally. In 96 children having taken 35 mg per kg body weight of amodiaquine base, none is any longer harboring parasites in his blood as soon as the second day following the end of the 3 days treatment (15 mg/kg body weight the first day, 12 mg/kg the second day and 8 mg/kg the third day). The 73 children having taken 27 mg/kg body weight of amodiaquine base are cleared of their parasites at the rate of 93% on the seventh day of the experiment. The 15 children having only taken 15 mg/kg body weight of amodiaquine base are cleared of their parasites at the rate of 54%. At the utilized doses, amodiaquine is generally well tolerated. Conjunctival hyperhaemia has only been observed as a secondary effect in 9 children among the 184 children treated but this side symptom disappeared soon after the end of the treatment. Aminotransferases blood levels are not modified in the course of the amodiaquine treatment.

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