Clinical and parasitological response of Plasmodium falciparum to chloroquine and sulfadoxine/pyrimethamine in rural Uganda.

Abstract:

:Following the WHO protocol for in-vivo tests in areas with intense transmission of uncomplicated falciparum malaria, a randomized comparison of the invivo efficacy of chloroquine alone, sulfadoxine/pyrimethamine alone, and their combined administration was carried out in the third quarter of 2001 in Kaberamaido District, northeastern Uganda. Malaria in the study area is hyper-endemic, with a high prevalence of Plasmodium falciparum. The patients were infants and young children with a median age of 15 months. Of the 117 originally enrolled patients, 104 had a complete follow-up with presentation at all scheduled examinations. In the chloroquine group (n = 42), 55% were classified as adequate clinical response, 26% as early treatment failure, and 19% as late clinical failure. In the sulfadoxine/pyrimethamine group (n = 30), the respective figures were 83%, 13% and 3%, and in the group with combined treatment (n = 32), 88%, 6% and 6%. In terms of clinical cure rate, speed of clinical relief and parasite clearance the combined treatment proved to be the most effective of the three drug regimens. In the patients with adequate clinical response, a significant post-therapeutic increase of the haematocrit was observed, which was particularly marked in patients who had also cleared their parasitaemia. Increase of the efficacy of chloroquine with age indicates the early development of semi-immunity in the study area, with conserved efficacy of chloroquine in semi-immune persons.

journal_name

Wien Klin Wochenschr

authors

Ogwang S,Engl M,Vigl M,Kollaritsch H,Wiedermann G,Wernsdorfer WH

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

45-9

eissn

0043-5325

issn

1613-7671

journal_volume

115 Suppl 3

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 杂志文章

    doi:

    authors: Maruna H,Winker N

    更新日期:1987-04-17 00:00:00

  • [Graphic representation of normal and pathological pregnancies by means of an ultrasonic-growth curve of the amniotic sac and of the biparietal diameter (author's transl)].

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    doi:

    authors: Lingard W,Endl J

    更新日期:1979-10-12 00:00:00

  • [Recurrent and relapsing course of borreliosis of the nervous system].

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    pub_type: 杂志文章,评审

    doi:

    authors: Omasits M,Seiser A,Brainin M

    更新日期:1990-01-05 00:00:00

  • [Is enostosis frontalis a disease process? (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Brainin M,Donner K

    更新日期:1979-09-14 00:00:00

  • [Adverse effects of non-steroidal anti-inflammatory drugs. A prevalence study in Austria].

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    pub_type: 杂志文章

    doi:10.1007/BF03040271

    authors: Kolarz G,Mayrhofer F,Neumann K,Singer F

    更新日期:2003-01-31 00:00:00

  • Acute kidney injury with medazepam-hyoscine buthylbromide.

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    pub_type: 杂志文章

    doi:10.1007/s00508-014-0523-7

    authors: Sayiner ZA,Ozturk ZA

    更新日期:2014-05-01 00:00:00

  • [Systemic candidiasis in the severely burned patient (author's transl)].

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Male O,Diem E

    更新日期:1976-11-12 00:00:00

  • The search for the uremic toxin: the case for carbamoylation of amino acids and proteins.

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    pub_type: 杂志文章,评审

    doi:

    authors: Kraus LM,Kraus AP Jr

    更新日期:1998-08-21 00:00:00

  • Retreatment of patients with chronic hepatitis C not responding to interferon/ribavirin combination therapy with daily interferon plus ribavirin plus amantadine.

    abstract::There is currently no accepted therapeutic regimen for patients with chronic hepatitis C who failed to respond to standard combination treatment with interferon-alpha plus ribavirin. We investigated triple combination treatment with induction dosing of interferon-alpha plus ribavirin plus amantadine in these difficult...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1007/BF03217706

    authors: Stauber RE,Hofer H,Hackl F,Schütze K,Datz C,Hegenbarth K,Jessner W,Steindl-Munda P,Peter F,Austrian Hepatitis Study Group.

    更新日期:2004-08-31 00:00:00

  • [Glomerular prostaglandins: synthesis, mechanism of action and interaction with ACE inhibitors].

    abstract::Prostaglandins (PG) play an important role in the regulation of the renal blood flow and glomerular filtration rate. This study was designed to examine PG synthesis in the presence and absence of the ACE inhibitor captopril, PG binding to specific receptors and the ability of PG to stimulate cAMP accumulation in isola...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Stetina Z

    更新日期:1991-01-01 00:00:00

  • [The development of gynaecological radiotherapy at the 1st department of obstetrics and gynaecology University of Vienna (a review of the past 25 years) (author's transl)].

    abstract::The radiotherapy unit of the Ist Department of Gynaecology, University of Vienna, was founded 25 years ago and its direction was entrusted to me. The initial period was extremely strenuous and difficult, especially in view of the fact that in our country the radiotherapeutic specialist in general - and the specialist ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 历史文章,杂志文章

    doi:

    authors: Weghaupt K

    更新日期:1975-07-18 00:00:00

  • Anton (von) Rosas (1791-1855): on the occasion of the bicentennial of his birth. Part II. A survey of his scientific works with special emphasis on specific topics.

    abstract::The author outlines the scientific works of Anton (von) Rosas (1791-1855), professor of ophthalmology in Padua and Vienna. Rosas' scientific opinions are compared with those of his teacher (G. J. Beer) and contemporaries. Three topics of medical and surgical ophthalmology have been analyzed in detail: epidemic-contagi...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Midena E

    更新日期:1991-01-01 00:00:00

  • Selenium status of elderly Austrians suffering from circulation disorders.

    abstract::Whole blood selenium status of 299 persons, 144 women and 155 men, with a mean age of 62 +/- 10 years, has been determined. The individuals came from all Austrian provinces to Bad Hall to improve their heart and circulation disorders. The mean selenium content was 95 micrograms/l. We found no correlations between sele...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Moser M,Buchberger W

    更新日期:1993-01-01 00:00:00

  • [Plasma exchange therapy in hematology].

    abstract::Plasma exchange (PE) is the treatment of choice in emergencies arising in patients suffering from the hyperviscosity syndrome, factor VIII antibody haemophilia, autoimmune haemolytic anaemia or post-transfusion purpura. Apart from these clear indications, the efficacy of PE in other hematological disorders such as thr...

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    pub_type: 杂志文章

    doi:

    authors: Höcker P,Pittermann E

    更新日期:1985-02-01 00:00:00

  • Sleep-wake cycles in preterm infants below 30 weeks of gestational age. Preliminary results of a prospective amplitude-integrated EEG study.

    abstract::In the newborn, presence of sleep-wake cycles indicates integrity and maturity of the central nervous system. By spectral EEG analysis and polygraphic recordings subtle variations of EEG background activity and behavioural patterns corresponding to early sleep-wake cycles have been found in preterm infants as young as...

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    pub_type: 杂志文章

    doi:

    authors: Kuhle S,Klebermass K,Olischar M,Hulek M,Prusa AR,Kohlhauser C,Birnbacher R,Weninger M

    更新日期:2001-04-17 00:00:00

  • Migration characteristics and early clinical results of the NANOS® short-stem hip arthroplasty.

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    pub_type: 杂志文章

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    authors: Kaipel M,Grabowiecki P,Sinz K,Farr S,Sinz G

    更新日期:2015-05-01 00:00:00

  • [Type 2 Diabetes mellitus-screening and prevention: Update 2016].

    abstract::The prevalence of diabetes is increasing in westernized countries. In addition, about half of all patients suffering from diabetes are not diagnosed. The current article represents the recommendations of the Austrian Diabetes Association for the screening and prevention of type 2 diabetes, based on currently available...

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    pub_type: 杂志文章,评审

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    authors: Stadler M,Fröhlich-Reiterer E,Prager R

    更新日期:2016-04-01 00:00:00

  • Inpatient smoking cessation therapy: truth or dare?

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    doi:10.1007/s00508-015-0820-9

    authors: Boehm G,Schroeder Y,Schoberberger R

    更新日期:2015-10-01 00:00:00

  • Austrian Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO) guideline for prophylaxis with granulocyte colony-stimulating factors (G-CSF) in gynecologic malignancies, including breast cancer.

    abstract::The current knowledge and recommendations on the clinical use of granulocyte colony-stimulating factors (G-CSF) in gynecologic cancers including breast cancer, along with the clinical experience of the members of the working group of the Austrian Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO), have been summar...

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    pub_type: 杂志文章,实务指引

    doi:10.1007/s00508-012-0185-2

    authors: Petru E,Zeimet AG,Sevelda P,Seifert M,Singer C,Hubalek M,Angleitner-Boubenizek L,Speiser P,Benedicic C,Stummvoll W,Reinthaller A,Austrian Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO).

    更新日期:2012-06-01 00:00:00

  • [Adverse effects of psychotropic drugs in the elderly].

    abstract::As in other organs, homeostatic mechanisms become insufficient in the aging brain, in part because of reduced activity of various neurotransmitter systems. Counter-regulatory processes are therefore reduced and reactions to drugs may be increased. Aside from these pharmacodynamic mechanisms, the increased toxicity of ...

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    pub_type: 杂志文章,评审

    doi:

    authors: Turnheim K

    更新日期:2000-05-05 00:00:00

  • [Obstetrics in Graz. A comparison 1887-1987].

    abstract::We compared obstetric data from the archives in Graz for 1887 with those of 1987. In 1887, 85% of all deliveries took place in the home or with a midwife--compared with only 0.46% in 1987. Maternal mortality in 1887 was 0.75%; two-thirds of the deaths occurred in the puerperium. Perinatal mortality was 11.0% in 1887 a...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 历史文章,杂志文章

    doi:

    authors: Burghardt E,Mayer HO

    更新日期:1989-12-22 00:00:00

  • Misdiagnosis of pulmonary embolism in patients with allergic reaction--the importance of prior probability of disease.

    abstract::Because pulmonary embolism (PE) and its treatment carry substantial risk of morbidity and mortality, accurate diagnosis is essential. We report two cases with allergic reactions, in which PE was suggested by routine ECG and D-dimer elevation and strengthened by spiral CT. Therapy with low-molecular-weight heparin was ...

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    pub_type: 杂志文章

    doi:10.1007/BF03040891

    authors: Janata K,Prokop M,Schaefer-Prokop C,Laggner AN

    更新日期:2003-10-31 00:00:00

  • Psychometric properties of the Activities Scale for Kids-performance after allogeneic hematopoietic stem cell transplantation in adolescents and children : Results of a prospective study on behalf of the German-Austrian-Swiss GVHD Consortium.

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    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00508-020-01641-w

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    更新日期:2021-01-01 00:00:00

  • [Pregnancy after kidney transplantation].

    abstract::11 women gave birth to 13 live-born infants after a mean period of 39.6 months following transplantation, whereby one of these women had two successful pregnancies and one patient had a twin pregnancy. The highly premature twins, born after a complicated pregnancy with impaired renal graft function in the mother, died...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Aichberger C,Lechner W,Ofner D,Pernthaler H,Königsrainer A,Margreiter R

    更新日期:1993-01-01 00:00:00

  • [Feedback by objective tests for coordination of medical teaching (author's transl)].

    abstract::Within the framework of an experimentally introduced curriculum in Medical Physiology during the past three years, voluntary tests of the multiple-choice type were offered at the end of each term in order to provide students with feedback on their achievements. Positive results contribute to the final grade. Analysis ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Lischka MF,Hinghofer-Szalkay H,Kenner T

    更新日期:1979-07-13 00:00:00

  • [Regression of florid proliferative diabetic retinopathy through achievement of normoglycaemic over five months by means of a portable insulin-dosage apparatus (author's transl)].

    abstract::A portable insulin-infusion device (Siemens-Erlangen) was used by 24-year-old juvenile onset-type diabetic woman for a period of 5 months in order to achieve normoglycaemic conditions. The patient suffered from rapidly deteriorating florid proliferative retinopathy and was practically blind. Kidney function was seriou...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Irsigler K,Kirtz H,Najemnik C,Freyler H

    更新日期:1980-04-11 00:00:00

  • [Hydroxyethylstarch (HES)].

    abstract::Adequate volume replacement therapy is a mainstay of managing the critically ill. The ideal kind of volume replacement in this situation still remains a challenge. In spite of an immense number of contributions to this problem there is still no definite answer. The ideal volume replacement strategy should not only aim...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:10.1007/BF03040482

    authors: Boldt J

    更新日期:2004-03-31 00:00:00

  • [Urology -- yesterday and today (author's transl)].

    abstract::The developments in urology over the past 10 years both in regard to diagnosis and therapy are reviewed. The value of diagnostic procedures such as intravenous urography, angiography, isotope rhenogram and scintigram in tumours of the kidney and the significance of lymphangiography in the decision concerning the opera...

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    pub_type: 历史文章,杂志文章

    doi:

    authors: Rummelhardt VS

    更新日期:1976-02-20 00:00:00

  • [Comparative studies of the effectiveness of specific immunotherapy in house dust mite allergy].

    abstract::In a prospective study, 60 patients with allergic rhinoconjunctivitis and/or asthma due to house dust mites were chosen for hyposensitization treatment with Migen (M) or Pharmalgen (P). Immunotherapy stretched over a whole year and every 3 months clinical results were evaluated by the patient's symptom score, by resul...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ebner H,Neuchrist C,Havelec L,Kraft D

    更新日期:1989-08-04 00:00:00

  • [The action of a tropic acid ester on bronchospasm: a double-blind study (author's transl)].

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 临床试验,杂志文章

    doi:

    authors: Bauer P,Kummer F

    更新日期:1975-02-21 00:00:00