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Therapy of uncomplicated falciparum malaria in Europe: MALTHER; a prospective observational multicentre study

  • O. Bouchaud
  • , N. Muehlberger
  • , P. Parola
  • , G. Calleri
  • , A. Matteelli
  • , G. Peyerl-Hoffmann
  • , F. Mechai
  • , P. Gautret
  • , J. Clerinx
  • , P.G. Kremsner
  • , T. Jelinek
  • , A. Kaiser
  • , A. Beltrame
  • , M. Schmid
  • , P. Kern
  • , M. Probst
  • , A. Bartoloni
  • , T. Weinke
  • , M.P. Grobusch

    Research output: Contribution to journalA1: Peer-reviewed journal articlespeer-review

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    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 languageEnglish
    JournalMalaria Journal
    Volume11
    Issue number212
    Pages (from-to)1-8
    Number of pages8
    ISSN1475-2875
    DOIs
    Publication statusPublished - 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

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