학술논문

Follow-up Survey of Children Who Received Sulfadoxine-Pyrimethamine for Intermittent Preventive Antimalarial Treatment in Infants.
Document Type
Article
Source
Journal of Infectious Diseases. 2/15/2011, Vol. 203 Issue 4, p556-560. 5p. 1 Chart, 1 Graph.
Subject
*MALARIA prevention
*IMMUNOGLOBULIN G
*PLASMODIUM falciparum
*PARASITE antigens
*PREVENTIVE medicine
Language
ISSN
0022-1899
Abstract
Recently, the World Health Organization emphasized the potential benefit of intermittent preventive treatment in infants (IPTi) to control malaria and officially recommended implementation of IPTi with sulfadoxine-pyrimethamine (SP) in areas with moderate and high transmission, where SP resistance is not high. As reported rebound effects make further observation mandatory, we performed a survey of participants of a former IPTi trial. Malariometric parameters were similar in the SP and the placebo group. In contrast, anti-Plasmodium falciparum lysate immunoglobulin G antibody levels, a proxymeasure for preceding malaria episodes, remained lower in the SP arm. The most likely explanation is a lower overall exposure to parasitic antigens after IPTi. [ABSTRACT FROM AUTHOR]