Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.

BACKGROUND: During the period of 1996-1999, we prospectively monitored 243 Javanese adults and children after arriving in Papua, Indonesia, and microscopically documented each new case of malaria by active surveillance. METHODS: In a randomized, open-label, comparative malaria treatment trial, 72 a...

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Main Authors: Maguire, J, Krisin, Marwoto, H, Richie, T, Fryauff, D, Baird, J
Format: Journal article
Language:English
Published: 2006
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author Maguire, J
Krisin
Marwoto, H
Richie, T
Fryauff, D
Baird, J
author_facet Maguire, J
Krisin
Marwoto, H
Richie, T
Fryauff, D
Baird, J
author_sort Maguire, J
collection OXFORD
description BACKGROUND: During the period of 1996-1999, we prospectively monitored 243 Javanese adults and children after arriving in Papua, Indonesia, and microscopically documented each new case of malaria by active surveillance. METHODS: In a randomized, open-label, comparative malaria treatment trial, 72 adults and 50 children received chloroquine for each incident case of malaria, and 74 adults and 47 children received mefloquine. RESULTS: Among 975 primary treatment courses, the cumulative 28-day curative efficacies were 26% and 82% for chloroquine against Plasmodium falciparum malaria and Plasmodium vivax malaria, respectively. Mefloquine cure rates were far superior (96% against P. falciparum malaria and 99.6% against P. vivax malaria). CONCLUSIONS: Mefloquine is a useful alternative treatment for P. vivax malaria and P. falciparum malaria in areas such as Papua, where chloroquine is still recommended as the first-line therapeutic agent.
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spelling oxford-uuid:d217bb7e-7b3e-4e79-8b41-e385dcad23bb2022-03-27T08:01:22ZMefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d217bb7e-7b3e-4e79-8b41-e385dcad23bbEnglishSymplectic Elements at Oxford2006Maguire, JKrisinMarwoto, HRichie, TFryauff, DBaird, J BACKGROUND: During the period of 1996-1999, we prospectively monitored 243 Javanese adults and children after arriving in Papua, Indonesia, and microscopically documented each new case of malaria by active surveillance. METHODS: In a randomized, open-label, comparative malaria treatment trial, 72 adults and 50 children received chloroquine for each incident case of malaria, and 74 adults and 47 children received mefloquine. RESULTS: Among 975 primary treatment courses, the cumulative 28-day curative efficacies were 26% and 82% for chloroquine against Plasmodium falciparum malaria and Plasmodium vivax malaria, respectively. Mefloquine cure rates were far superior (96% against P. falciparum malaria and 99.6% against P. vivax malaria). CONCLUSIONS: Mefloquine is a useful alternative treatment for P. vivax malaria and P. falciparum malaria in areas such as Papua, where chloroquine is still recommended as the first-line therapeutic agent.
spellingShingle Maguire, J
Krisin
Marwoto, H
Richie, T
Fryauff, D
Baird, J
Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.
title Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.
title_full Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.
title_fullStr Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.
title_full_unstemmed Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.
title_short Mefloquine is highly efficacious against chloroquine-resistant Plasmodium vivax malaria and Plasmodium falciparum malaria in Papua, Indonesia.
title_sort mefloquine is highly efficacious against chloroquine resistant plasmodium vivax malaria and plasmodium falciparum malaria in papua indonesia
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AT krisin mefloquineishighlyefficaciousagainstchloroquineresistantplasmodiumvivaxmalariaandplasmodiumfalciparummalariainpapuaindonesia
AT marwotoh mefloquineishighlyefficaciousagainstchloroquineresistantplasmodiumvivaxmalariaandplasmodiumfalciparummalariainpapuaindonesia
AT richiet mefloquineishighlyefficaciousagainstchloroquineresistantplasmodiumvivaxmalariaandplasmodiumfalciparummalariainpapuaindonesia
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