Glucose-6-phosphate dehydrogenase deficiency, chlorproguanil-dapsone with artesunate and post-treatment haemolysis in African children treated for uncomplicated malaria

  • C. Van Malderen
  • , J.P. Van geertruyden
  • , S. Machevo
  • , R. Gonzalez
  • , Q. Bassat
  • , A. Talisuna
  • , A. Yeka
  • , C. Nabasumba
  • , P. Piola
  • , A. Daniel
  • , E. Turyakira
  • , Pascale Forret
  • , C. Van Overmeir
  • , H. van Loen
  • , A. Robert
  • , Umberto D'Alessandro

Research output: Contribution to journalA1: Web of Science-articlepeer-review

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Abstract

BACKGROUND: Malaria is a leading cause of mortality, particularly in sub-Saharan African children. Prompt and efficacious treatment is important as patients may progress within a few hours to severe and possibly fatal disease. Chlorproguanil-dapsone-artesunate (CDA) was a promising artemisinin-based combination therapy (ACT), but its development was prematurely stopped because of safety concerns secondary to its associated risk of haemolytic anaemia in glucose-6-phosphate dehydrogenase (G6PD)-deficient individuals. The objective of the study was to assess whether CDA treatment and G6PD deficiency are risk factors for a post-treatment haemoglobin drop in African children
Original languageEnglish
Article number139
JournalMalaria Journal
Volume11
Pages (from-to)1-7
Number of pages7
ISSN1475-2875
DOIs
Publication statusPublished - 2012

Keywords

  • Protozoal diseases
  • Malaria
  • Plasmodium falciparum
  • Vectors
  • Mosquitoes
  • Anopheles
  • Treatment
  • Artemisinin combination therapies (ACT)
  • Chlorproguanil
  • Dapsone
  • Artesunate
  • Children
  • Hemoglobin
  • Risk factors
  • G6PD deficiency
  • Randomized clinical trials
  • Africa-General
  • Author
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