Intermittent preventive antimalarial treatment to children (IPTc): firebreak or fire trap?

被引:4
作者
Buffet, Pierre A. [1 ,2 ,3 ]
Briand, Valerie [4 ]
Renia, Laurent [5 ]
Thellier, Marc [1 ,2 ,3 ]
Danis, Martin [1 ,2 ,3 ]
Mazier, Dominique [1 ,2 ,3 ]
机构
[1] INSERM, UMR S511, F-75013 Paris, France
[2] Univ Paris 06, UMR S511, F-75013 Paris, France
[3] Grp Hosp Pitie Salpetriere, AP HP, Serv Parasitol Mycol, F-75013 Paris, France
[4] Inst Rech Dev, UR010, Paris, France
[5] ASTAR, Biopolis, Lab Malaria Immunobiol, Singapore Immunol Network, Singapore, Singapore
关键词
D O I
10.1016/j.pt.2008.07.007
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Intermittent preventive treatment is the prescheduled administration of antimalarial drugs to at-risk patients in endemic areas. This approach, which is recommended for pregnant women, is being evaluated in children. Sulfadoxine-pyrimethamine plus amodiaquine recently proved to be more protective than artemisinin-containing regimens. Therefore, the use of artemisinin derivatives could potentially be restricted to symptomatic patients. Determinants of three pending issues: safety, efficacy throughout childhood, and effectiveness - the latter depending on the implementation of sustainable delivery mechanisms - are analyzed in this comment.
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收藏
页码:482 / 485
页数:4
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