Loading dose of quinine in African children with cerebral malaria.

Abstract:

:The majority of deaths from cerebral malaria occur within 48 h after admission to hospital. Because of the possibility of inadequate treatment within this period, the use of a loading dose of quinine has been proposed. We reviewed clinical and laboratory data for 113 children with cerebral malaria, who were treated with intravenous quinine, 10 mg/kg every 8 h, at Macha Mission Hospital in rural Zambia. In 1990-1991, 39 children were not given a loading dose of quinine while, in 1992-1993, 74 children received a loading dose of 20 mg/kg. Elevated serum iron levels, as reflected in transferrin saturation, were strongly associated with higher mortality. A loading dose of quinine was associated with faster recovery from coma and enhanced clearance of parasitaemia and fever. The loading dose was also associated with trends to lower mortality and higher haemoglobin levels, but these differences were not statistically significant.

authors

van der Torn M,Thuma PE,Mabeza GF,Biemba G,Moyo VM,McLaren CE,Brittenham GM,Gordeuk VR

doi

10.1016/s0035-9203(98)91032-x

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

325-31

issue

3

eissn

0035-9203

issn

1878-3503

journal_volume

92

pub_type

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