5-DAY NONOBSERVED ARTESUNATE MONOTHERAPY FOR TREATING UNCOMPLICATED FALCIPARUM MALARIA IN YOUNG GABONESE CHILDREN

NORBERT G. SCHWARZ Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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SUNNY OYAKHIROME Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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MARC PÖTSCHKE Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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BENJAMIN GLÄSER Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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PETER KLEIN KLOUWENBERG Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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HANDAN ALTUN Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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AYOLA A. ADEGNIKA Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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SAADOU ISSIFOU Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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JÜRGEN F. J. KUN Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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PETER G. KREMSNER Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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MARTIN P. GROBUSCH Medical Research Unit, Albert Schweitzer Hospital Lambaréné, Gabon; Institute of Tropical Medicine, Department of Parasitology, University of Tübingen, Tübingen, Germany

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Despite different recommendations from WHO and national authorities, artesunate monotherapy is increasingly used for treating African children with malaria. A 5-day course of oral artesunate (first day: 4 mg/kg body weight, observed intake; and 2 mg/kg body weight on the following days with nonobserved drug intake) yielded a PCR-corrected Day 28 cure rate of 90% (45 of 50 patients; CI 78–97%) in Gabonese children aged between 2 and 18 months. Artesunate was well tolerated, and no severe adverse events were reported.

Author Notes

Reprint requests: Martin P. Grobusch, University of the Witwatersrand, Infectious Diseases Unit, Johannesburg, South Africa, Telephone: +2711 489 8537; Fax: +2711 489 8530, E-mail: grobuschmp@pathology.wits.ac.za.
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