Abstract
BACKGROUND: Malaria continues to be amongst the most frequent infectious diseases imported to Europe. Whilst European treatment guidelines are based on data from studies carried out in endemic areas, there is a paucity of original prospective treatment data. The objective was to summarize data on treatments to harmonize and optimize treatment for uncomplicated malaria in Europe. METHODS: A prospective observational multicentre study was conducted, assessing tolerance and efficacy of treatment regimens for imported uncomplicated falciparum malaria in adults amongst European centres of tropical and travel medicine. RESULTS: Between December 2003 and 2009, 504 patients were included in 16 centres from five European countries. Eighteen treatment regimens were reported,, the top three being atovaquone-proguanil, mefloquine, and artemether-lumefantrine. Treatments significantly differed with respect to the occurrence of treatment changes (p=0.005) and adverse events (p=0.001), parasite and fever clearance times (p
Original language | English |
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Journal | Malaria Journal |
Volume | 11 |
Issue number | 212 |
Pages (from-to) | 1-8 |
Number of pages | 8 |
ISSN | 1475-2875 |
DOIs | |
Publication status | Published - 2012 |
Keywords
- Protozoal diseases
- Malaria
- Plasmodium falciparum
- Vectors
- Mosquitoes
- Anopheles
- Travelers
- Treatment
- Prospective studies
- Assessment
- Tolerance
- Efficacy
- Atovaquone
- Proguanil
- Mefloquine
- Artemether-lumefantrine
- Quinine
- Treatment regimen
- Adverse effects
- Clearance
- Combination therapy
- Europe