A Randomized Open-Label Evaluation of the Antimalarial Prophylactic Efficacy of Azithromycin-Piperaquine versus Sulfadoxine-Pyrimethamine in Pregnant Papua New Guinean Women

Author:

Moore Brioni R.12,Benjamin John M.3,Tobe Roselyn3,Ome-Kaius Maria345,Yadi Gumul3,Kasian Bernadine3,Kong Charles3,Robinson Leanne J.3456,Laman Moses23,Mueller Ivo457,Rogerson Stephen8,Davis Timothy M. E.2ORCID

Affiliation:

1. School of Pharmacy and Biomedical Sciences, Curtin University, Bentley, Australia

2. Medical School, The University of Western Australia, Crawley, Australia

3. Vector Borne Disease Unit, Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea

4. Population Health and Immunity Division, Walter and Eliza Hall Institute, Parkville, Australia

5. Department of Medical Biology, University of Melbourne, Parkville, Australia

6. Burnet Institute, Melbourne, Australia

7. Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France

8. Department of Medicine, The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia

Abstract

Emerging malaria parasite sulfadoxine-pyrimethamine (SP) resistance has prompted assessment of alternatives for intermittent preventive treatment in pregnancy (IPTp). The objective was to evaluate the tolerability and prophylactic efficacy of azithromycin (AZ) plus piperaquine (PQ) in pregnant women in Papua New Guinea. The study was an open-label, randomized, parallel-group trial.

Funder

Malaria in Pregnancy Consortium

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference53 articles.

1. Epidemiology and burden of malaria in pregnancy

2. Prevention of malaria in pregnancy

3. World Health Organization. 2014. WHO policy brief for the implementation of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP). World Health Organization, Geneva, Switzerland.

4. World Health Organization. 2015. Guidelines for the treatment of malaria. World Health Organization, Geneva, Switzerland.

5. Effect of Sulfadoxine-Pyrimethamine Resistance on the Efficacy of Intermittent Preventive Therapy for Malaria Control During Pregnancy

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