Efficacy of chloroquine, amodiaquine and sulphadoxine-pyrimethamine for the treatment of uncomplicated falciparum malaria: revisiting molecular markers in an area of emerging AQ and SP resistance in Mali
2009

Effectiveness of Malaria Treatments in Mali

Sample size: 455 publication 10 minutes Evidence: moderate

Author Information

Author(s): Tekete Mamadou, Djimde Abdoulaye A, Beavogui Abdoul H, Maiga Hamma, Sagara Issaka, Fofana Bakary, Ouologuem Dinkorma, Dama Souleymane, Kone Aminatou, Dembele Demba, Wele Mamadou, Dicko Alassane, Doumbo Ogobara K

Primary Institution: Malaria Research and Training Center/Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, Pharmacy and Odonto-Stomatology, Bamako, Mali

Hypothesis

What is the efficacy of chloroquine, amodiaquine, and sulphadoxine-pyrimethamine for treating uncomplicated falciparum malaria in Mali?

Conclusion

Sulphadoxine-pyrimethamine was found to be the most effective treatment for uncomplicated falciparum malaria, followed by amodiaquine.

Supporting Evidence

  • ACPR rates for chloroquine were low, indicating resistance.
  • Amodiaquine showed the highest effectiveness on fever.
  • Sulphadoxine-pyrimethamine had the highest clinical response rates after molecular correction.

Takeaway

This study looked at how well different malaria medicines work in kids. It found that one medicine worked the best.

Methodology

Children aged 6 to 59 months with uncomplicated malaria were randomly assigned to receive one of three treatments, and their responses were monitored over 28 days.

Potential Biases

Potential biases may arise from the open-label design and randomization process.

Limitations

The study was limited to a specific geographic area and may not be generalizable to other regions.

Participant Demographics

Children aged 6 to 59 months from Kolle, Mali.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-8-34

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