Pharmacokinetic considerations in seasonal malaria chemoprevention

African children under 5 years of age bear the main burden of global malaria mortality. Seasonal malaria chemoprevention (SMC) with sulfadoxine-pyrimethamine (SP) plus amodiaquine (AQ) given monthly during the rainy season is a highly effective malaria intervention for children aged between 3 months...

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Main Authors: Chotsiri, P, White, NJ, Tarning, J
Format: Journal article
Language:English
Published: Cell Press 2022
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author Chotsiri, P
White, NJ
Tarning, J
author_facet Chotsiri, P
White, NJ
Tarning, J
author_sort Chotsiri, P
collection OXFORD
description African children under 5 years of age bear the main burden of global malaria mortality. Seasonal malaria chemoprevention (SMC) with sulfadoxine-pyrimethamine (SP) plus amodiaquine (AQ) given monthly during the rainy season is a highly effective malaria intervention for children aged between 3 months and 5 years living in the Sahel region, a region of intense but seasonal malaria transmission. This intervention is now being considered for other regions of Africa where malaria parasites are more drug resistant. Dihydroartemisinin-piperaquine (DP), an artemisinin-based combination therapy (ACT), has proved to be highly effective and well tolerated in intermittent preventive treatment in pregnant women and children. This combination may be a suitable alternative for SMC. Understanding the safety, pharmacokinetic and pharmacodynamic properties of antimalarial combination therapies is crucial in optimising dosing.
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spelling oxford-uuid:e5d80787-377e-462c-83a4-f6b76032cca72023-02-20T11:28:15ZPharmacokinetic considerations in seasonal malaria chemopreventionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e5d80787-377e-462c-83a4-f6b76032cca7EnglishSymplectic ElementsCell Press2022Chotsiri, PWhite, NJTarning, JAfrican children under 5 years of age bear the main burden of global malaria mortality. Seasonal malaria chemoprevention (SMC) with sulfadoxine-pyrimethamine (SP) plus amodiaquine (AQ) given monthly during the rainy season is a highly effective malaria intervention for children aged between 3 months and 5 years living in the Sahel region, a region of intense but seasonal malaria transmission. This intervention is now being considered for other regions of Africa where malaria parasites are more drug resistant. Dihydroartemisinin-piperaquine (DP), an artemisinin-based combination therapy (ACT), has proved to be highly effective and well tolerated in intermittent preventive treatment in pregnant women and children. This combination may be a suitable alternative for SMC. Understanding the safety, pharmacokinetic and pharmacodynamic properties of antimalarial combination therapies is crucial in optimising dosing.
spellingShingle Chotsiri, P
White, NJ
Tarning, J
Pharmacokinetic considerations in seasonal malaria chemoprevention
title Pharmacokinetic considerations in seasonal malaria chemoprevention
title_full Pharmacokinetic considerations in seasonal malaria chemoprevention
title_fullStr Pharmacokinetic considerations in seasonal malaria chemoprevention
title_full_unstemmed Pharmacokinetic considerations in seasonal malaria chemoprevention
title_short Pharmacokinetic considerations in seasonal malaria chemoprevention
title_sort pharmacokinetic considerations in seasonal malaria chemoprevention
work_keys_str_mv AT chotsirip pharmacokineticconsiderationsinseasonalmalariachemoprevention
AT whitenj pharmacokineticconsiderationsinseasonalmalariachemoprevention
AT tarningj pharmacokineticconsiderationsinseasonalmalariachemoprevention