The antischistosomal efficacies of artesunate–sulfamethoxypyrazine–pyrimethamine and artemether–lumefantrine administered as treatment for uncomplicated, Plasmodium falciparum malaria
Authors: Adam, I.1; Elhardello, O. A.2; Elhadi, M. O.3; Abdalla, E.2; Elmardi, K. A.4; Jansen, F. H.5
Source: Annals of Tropical Medicine and Parasitology, Volume 102, Number 1, January 2008 , pp. 39-44(6)
Publisher: Maney Publishing
Abstract:
Although artemisinin and its derivatives are widely used for the treatment of malaria, they also have antischistosomal activity. In a small study in eastern Sudan, the effects of the treatment of uncomplicated, Plasmodium falciparum malaria with artesunate–sulfamethoxypyrazine–pyrimethamine (AS–SMP) and artemether–lumefantrine (AT–LU) on co-infections with Schistosoma mansoni were therefore investigated. Faecal samples from 14 of the 306 patients screened on presentation, at the start of a clinical trial of antimalarial treatment, were found to contain Schistosoma mansoni eggs. For the treatment of their malaria, the 14 egg-positive cases, who were aged 6–40 years (mean = 13.7 years), were each subsequently treated with three tablets of a fixed combination of AS–SMP, with a 12-h (six patients) or 24-h interval (five patients) between each tablet, or with six doses of AT–LU given over 3 days. When checked 28 and 29 days after the initiation of treatment, all 14 patients were found stool-negative for schistosome eggs. These results indicate that AS–SMP and AT–LU are currently very effective treatments not only for uncomplicated, P. falciparum malaria but also for S. mansoni infections.Document Type: Research Article
DOI: http://dx.doi.org/10.1179/136485908X252214
Affiliations: 1: Faculty of Medicine, University of Khartoum, P.O. Box 102, Khartoum, Sudan 2: New Halfa Teaching Hospital, P.O. Box 68, New Halfa, Sudan 3: National Center for Research, P.O. Box 2404, Khartoum, Sudan 4: National Malaria Control Programme, Ministry of Health, P.O. Box 1204, Khartoum, Sudan 5: Dafra Pharma NV, Slachthuisstrat 30/7, 2300 Turnhout, Belgium
Publication date: 2008-01-01
- In 2012 Annals of Tropical Medicine and Parasitology changed its name to Pathogens and Global Health to reflect changes and developments in the subject area. View the issues of Pathogens and Global Health available online..
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- By this author: Adam, I. ; Elhardello, O. A. ; Elhadi, M. O. ; Abdalla, E. ; Elmardi, K. A. ; Jansen, F. H.

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