Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia

The effect of antimalarials on gametocytes can influence transmission and the spread of drug resistance. In order to further understand this relationship, we determined the proportion of gametocyte carriers over time post-treatment in patients with uncomplicated Plasmodium falciparum malaria who wer...

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Main Authors: Lyda Osorio, Beatriz E Ferro, Carmen M Castillo
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2002-12-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762002000800026
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author Lyda Osorio
Beatriz E Ferro
Carmen M Castillo
author_facet Lyda Osorio
Beatriz E Ferro
Carmen M Castillo
author_sort Lyda Osorio
collection DOAJ
description The effect of antimalarials on gametocytes can influence transmission and the spread of drug resistance. In order to further understand this relationship, we determined the proportion of gametocyte carriers over time post-treatment in patients with uncomplicated Plasmodium falciparum malaria who were treated with either chloroquine (CQ) or sulfadoxine/pyrimethamine (SP). The overall proportion of gametocyte carriers was high (85%) and not statistically significantly different between the CQ and SP treatment groups. However, an increased risk of carrying gametocytes on day 14 of follow up (1.26 95% CI 1.10-1.45) was found among patients having therapeutic failure to CQ compared with patients having an adequate therapeutic response. This finding confirms and extends reports of increased risk of gametocytaemia among CQ resistant P. falciparum.
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spelling doaj.art-30c64089c59442bf9fc9115f69337bdf2023-09-02T19:06:46ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602002-12-019781221122310.1590/S0074-02762002000800026Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in ColombiaLyda OsorioBeatriz E FerroCarmen M CastilloThe effect of antimalarials on gametocytes can influence transmission and the spread of drug resistance. In order to further understand this relationship, we determined the proportion of gametocyte carriers over time post-treatment in patients with uncomplicated Plasmodium falciparum malaria who were treated with either chloroquine (CQ) or sulfadoxine/pyrimethamine (SP). The overall proportion of gametocyte carriers was high (85%) and not statistically significantly different between the CQ and SP treatment groups. However, an increased risk of carrying gametocytes on day 14 of follow up (1.26 95% CI 1.10-1.45) was found among patients having therapeutic failure to CQ compared with patients having an adequate therapeutic response. This finding confirms and extends reports of increased risk of gametocytaemia among CQ resistant P. falciparum.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762002000800026Plasmodium falciparumgametocytesantimalarial drugsmalariaColombia
spellingShingle Lyda Osorio
Beatriz E Ferro
Carmen M Castillo
Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia
Memorias do Instituto Oswaldo Cruz
Plasmodium falciparum
gametocytes
antimalarial drugs
malaria
Colombia
title Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia
title_full Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia
title_fullStr Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia
title_full_unstemmed Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia
title_short Effects of chloroquine and sulfadoxine/pyrimethamine on gametocytes in patients with uncomplicated Plasmodium falciparum malaria in Colombia
title_sort effects of chloroquine and sulfadoxine pyrimethamine on gametocytes in patients with uncomplicated plasmodium falciparum malaria in colombia
topic Plasmodium falciparum
gametocytes
antimalarial drugs
malaria
Colombia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762002000800026
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AT carmenmcastillo effectsofchloroquineandsulfadoxinepyrimethamineongametocytesinpatientswithuncomplicatedplasmodiumfalciparummalariaincolombia