Plasmodium falciparum In Vitro Susceptibility to Antimalarial Drugs in Casamance (Southwestern Senegal) during the First 5 Years of Routine Use of Artesunate-Amodiaquine

Author:

Agnamey P.1,Brasseur P.2,de Pecoulas P. Eldin3,Vaillant Michel4,Olliaro P.56

Affiliation:

1. Laboratoire de Parasitologie-Mycologie, Hôpital Hôtel Dieu, UFR Hôtel Dieu—Broussais, Université Paris V, Paris, France

2. UR 077, Institut de Recherche pour le Développement, Dakar, Sénégal

3. Faculté de Pharmacie, Université de Caen, Caen, France

4. Centre de Recherche Publique—Santé, Luxembourg

5. UNICEF/UNDP/WB/WHO Special Programme for Research & Training in Tropical Diseases, Geneva, Switzerland

6. Unité 3677, Bases thérapeutiques des inflammations et infections, Université Victor Segalen Bordeaux II, Bordeaux, France

Abstract

ABSTRACT We have monitored the in vitro sensitivities of Plasmodium falciparum isolates predeployment and during the deployment of artesunate plus amodiaquine treatment in Mlomp, Casamance (southwestern Senegal) during 2000 to 2004. Parasites remained susceptible to both drugs. Chloroquine resistance levels were high but stable. Quinine continues to be effective.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference13 articles.

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2. Agnamey, P., P. Brasseur, M. Cissé, O. Gaye, J. Dumoulin, J. Rigal, W. R. J. Taylor, and P. Olliaro. 2005. Economic evaluation of a policy change from single-agent treatment for suspected malaria to artesunate-amodiaquine for microscopically confirmed uncomplicated falciparum malaria in the Oussouye district of southwestern Senegal. Trop. Med. Int. Health10:926-933.

3. Brasseur, P., P. Druilhe, J. Kouamouo, O. Brandicourt, M. Danis, and S. R. Moyou. 1986. High level of sensitivity to choloroquine of 72 Plasmodium falciparum isolates from southern Cameroon in January 1985. Am. J. Trop. Med. Hyg.35:711-716.

4. Brasseur, P., R. Guiguemde, S. Diallo, V. Guiyedi, M. Kombila, P. Ringwald, and P. Olliaro. 1999. Amodiaquine remains effective for treating uncomplicated malaria in West and Central Africa. Trans. R. Soc. Trop. Med. Hyg.86:609-612.

5. Churchill, F. C., L. C. Patchen, C. C. Campbell, I. K. Schwartz, P. Nguyen-Dinh, and C. M. Dickinson. 1985. Amodiaquine as pro-drug: the importance of metabolite(s) in the antimalarial effect of amodiaquine in humans. Life Sci.36:53-62.

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