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EFFICACY OF MIRAZID IN COMPARISON WITH PRAZIQUANTEL IN EGYPTIAN SCHISTOSOMA MANSONI–INFECTED SCHOOL CHILDREN AND HOUSEHOLDS

SANAA BOTROSTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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HANAN SAYEDTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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HOWAIDA EL-DUSOKITheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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HODA SABRYTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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IBRAHIM RABIETheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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MAGED EL-GHANNAMTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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MOATAZ HASSANEINTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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YEHIA ABD EL-WAHABTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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DIRK ENGELSTheodor Bilharz Research Institute, Warrak El-Hadar, Giza, Egypt; Ministry of Health and Population, Cairo, Egypt; World Health Organization, Geneva, Switzerland

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This trial investigated the anti-schistosomal activity of mirazid in comparison with that of praziquantel in Schistosoma mansoni-infected Egyptian patients. The sample population was composed of 1,131 individuals (459 school children and 672 household members). Screening for S. mansoni was conducted using the standard Kato Katz technique. Four slides from a single stool sample were examined before treatment, and four slides per sample from stool samples obtained on three consecutive days were examined post-treatment. All positive eligible subjects were randomly assigned into two groups, the first received mirazid at a dose of 300 mg/day for three consecutive days, and the second received praziquantel at a single dose of 40 mg/kg. All treated subjects were examined 4–6 weeks post-treatment. Mirazid showed low cure rates of 9.1% and 8.9% in S. mansoni-infected school children and household members, respectively, compared with cure rates of 62.5% and 79.7%, respectively, in those treated with praziquantel. Therefore, we do not recommend mirazid as an agent to control schistosomiasis.

Author Notes

Reprint requests: Sanaa Botros, Theodor Bilharz Research Institute, Warrak El-Hadar, Imbaba, PO Box 30, Giza 12411, Egypt, Fax: 20-2-540-8125, E-mail: sanaabotros@link.net.
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