[Resistance of Plasmodium falciparum to 3 antimalarials in Turbo (Antioquia, Colombia), 1998]

Rev Panam Salud Publica. 2001 Jan;9(1):23-9. doi: 10.1590/s1020-49892001000100006.
[Article in Spanish]

Abstract

In 1998 we determined in vivo and in vitro the frequency and the degree of resistance of Plasmodium falciparum to the three antimalarials (chloroquine, amodiaquine, and sulfadoxine/pyrimethamine) most utilized in the municipality of Turbo (in the area of Urabá, Antioquia, Colombia), in a sample representative of the population with malaria. We carried out clinical and parasitological analyses over a 14-day period using the standard test recommended by the World Health Organization. In vivo, P. falciparum showed resistance to chloroquine, amodiaquine, and sulfadoxine/pyrimethamine, with a frequency of 97%, 7%, and 13%, respectively. In vitro, the corresponding figures were 21%, 23%, and 9%, respectively. For chloroquine the level of agreement between the in vivo and in vitro results was 23%.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Amodiaquine / pharmacology*
  • Animals
  • Antimalarials / pharmacology*
  • Child
  • Child, Preschool
  • Chloroquine / pharmacology*
  • Colombia
  • Drug Combinations
  • Drug Resistance
  • Female
  • Humans
  • Malaria, Falciparum / epidemiology
  • Malaria, Falciparum / parasitology
  • Male
  • Middle Aged
  • Plasmodium falciparum / drug effects*
  • Pyrimethamine / pharmacology*
  • Sulfadoxine / pharmacology*

Substances

  • Antimalarials
  • Drug Combinations
  • Amodiaquine
  • fanasil, pyrimethamine drug combination
  • Sulfadoxine
  • Chloroquine
  • Pyrimethamine