Treatment Failure of Dihydroartemisinin/Piperaquine for Plasmodium falciparum Malaria, Vietnam

Emerg Infect Dis. 2017 Apr;23(4):715-717. doi: 10.3201/eid2304.161872.

Abstract

We conducted a study in Binh Phuoc, Vietnam, in 2015 on the therapeutic efficacy of dihydroartemisinin/piperaquine for Plasmodium falciparum malaria. A high number of treatment failures (14/40) was found, and piperaquine resistance in Vietnam was confirmed. A change in the malaria treatment policy for Vietnam is in process.

Keywords: Plasmodium falciparum; Vietnam; antimicrobial resistance; artemisinin; dihydroartemisinin/piperaquine; drug resistance; malaria; mefloquine; piperaquine; vector-borne infections.

MeSH terms

  • Adolescent
  • Adult
  • Antimalarials / administration & dosage
  • Antimalarials / therapeutic use*
  • Artemisinins / administration & dosage
  • Artemisinins / therapeutic use*
  • Drug Combinations
  • Drug Resistance*
  • Female
  • Humans
  • Malaria, Falciparum / drug therapy*
  • Malaria, Falciparum / epidemiology
  • Male
  • Middle Aged
  • Mutation
  • Plasmodium falciparum / genetics
  • Protozoan Proteins / genetics
  • Protozoan Proteins / metabolism
  • Quinolines / administration & dosage
  • Quinolines / therapeutic use*
  • Vietnam / epidemiology

Substances

  • Antimalarials
  • Artemisinins
  • Drug Combinations
  • Protozoan Proteins
  • Quinolines
  • artenimol
  • piperaquine