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Am. J. Trop. Med. Hyg., 38(2), 1988, pp. 244-248
Copyright © 1988 by The American Society of Tropical Medicine and Hygiene

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Amodiaquine and Sulfadoxine-Pyrimethamine as Treatment for Chloroquine-Resistant Plasmodium falciparum in Rwanda

Philippe Deloron*, John D. Sexton*, Laurent Bugilimfura{dagger} AND Célestin Sezibera{ddagger}
* Malaria Branch, Division of Parasitic Diseases, Center for Infectious Diseases, Centers for Disease Control, Atlanta, Georgia
and{dagger} Combatting Childhood Communicable Diseases Program
and{ddagger} Ministry of Health Kigali, Rwanda

The efficacy of amodiaquine and sulfadoxine-pyrimethamine combination as a second-line therapy for chloroquine-resistant Plasmodium falciparum infections was investigated in Rwanda in September 1986. Children ≤5 years old presenting with a P. falciparum parasitemia 14 days after treatment with chloroquine were administered either amodiaquine (25 mg/kg over 3 days, 64 patients) or sulfadoxine-pyrimethamine (as a single dose with tablets containing 500 mg of sulfadoxine and 25 mg of pyrimethamine: 1/4 tablet for children under 1 year, 1/2 for those 1–3 years old, and 1 tablet for those 4–5 years old; 34 patients) and followed for 7 days. Seven days after starting treatment with amodiaquine, 50 (76%) children were aparasitemic. All the children who had received sulfadoxine-pyrimethamine were aparasitemic 7 days after initiation of therapy.

Accepted for publication August 11, 1987.







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Copyright © 1988 by the American Society of Tropical Medicine and Hygiene.