Comparative efficacy of combination fansidar-sulphate-quinine and fansidar-cbloroquine in mixed malaria infections of P. falciparum - P. vivax in children

  • A. Liando Department of Child Health, Universitas Sam Ratulangi Medical School/Gunung Wenang Hospital, Manado, North Sulawesi
  • T. H. Rampengan Department of Child Health, Universitas Sam Ratulangi Medical School/Gunung Wenang Hospital, Manado, North Sulawesi
Keywords: mixed malaria infections; P. falciparum; P. vivax; fansidar-quinine; fansidar-chloroquine; asexual

Abstract

From January 1987 until March 1990, 61 children suffering from mixed malaria infections of P. falciparum and P. vivax entered the Department of Child Health Medical School Sam Ratulangi University/Gunung Wenang General Hospital, Manado. Only 41 patients were evaluated as 20 patients did not fulfill the inclusion criteria.

Twenty patients were treated with fansidar-quinine (Group I), and 21 patients with fansidar chloroquine (Group II). In group II, the asexual form of P. vivax disappeared in 2 days after having been treated with fansidar-chloroquine. Conversely, in group I the asexual form of P. vivax disappeared after 5 days o[ treatment. Statistical analysis showed a significant difference (p<0.001). No significant difference .could be detected between the duration of asexual parasitemia of P. falciparum in these two groups (p=0.3085). No statistically significant difference could be detected concerning the duration of fever and the length of hospitalization between these rwo groups.

 

References

1. ADHYATMA: Malaria. Tes resistensi in vivo dan in vitro untuk plasmodium falciparum. Dep. Kes. R.I., Dit. Jen. P3M., jilid 9 (1984).
2. DAKUNG, L.S.; PRIBADI, W.; ISMED, I.S.: Plasmodium falciparum yang tersangka resisten terhadap kbrokuin di Jakarta. Maj. Kedok. Indones. 28 : 114-116 (1978).
3. HOFFMAN, S.L.; DIMPUDUS, A.J.; CAMPBELL, J.R.; HARIJANI, A.M.; SUKRI, N.; RUST AM, D.; PUNJABI, N.H.; OETOMO, H.S., HARUN, S.; HEIZMAN, P.: R II and R III type resistance of plasmodium falciparum to combination of mefloquine and sulfadoxin/pyrimethamine in Indonesia. Lancet 9: 1039-1040 (1985).
4. PANNOMPALAM, J.T.: Mixed malaria infections in plasmodium falciparum in West Malaysia. Med. Progr. 11 : 35-37 (1984).
5. PRIBADI, W.; DAKUNG, L.S. i ADJUNG, S.A.: Infeksi plasmodium falciparum resisten tefhadap klorokuin dari beberapa daerah di Indonesia. Medika 8 : 689-693 (1985).
6. RAMPENGAN, J .P .; RAMPENGAN, T.H.: Malaria tropika pada anak yang resisten II terhadap fansidar. Maj. Kedok. Indones. 38 : 77-88 (1988).
7. RAMPENGAN, T.H.; RAMPENGAN J.P.: Chloroquine resistant falciparum malaria in children. Paediatr. Indones. 29: 13-19 (1989).
8. VERDAGER, J.; ARWATI; SIMANJUNTAK, C.H.; SAROSO, J. Chloroquine resistant falciparum malaria in East Kalimantan, Indonesia. J. trop. Med. Hyg. 3: 58-66 (1976).
Published
2020-06-05
How to Cite
1.
Liando A, Rampengan TH. Comparative efficacy of combination fansidar-sulphate-quinine and fansidar-cbloroquine in mixed malaria infections of P. falciparum - P. vivax in children. PI [Internet]. 5Jun.2020 [cited 20Apr.2024];31(3-4):99-03. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2432
Section
Infection & Tropical Pediatrics
Received 2020-06-05
Published 2020-06-05