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Higher-Dose Primaquine to Prevent Relapse of Plasmodium vivax Malaria. | LitMetric

Higher-Dose Primaquine to Prevent Relapse of Plasmodium vivax Malaria.

N Engl J Med

Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

Published: July 2022

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Source
http://dx.doi.org/10.1056/NEJMc2205922DOI Listing

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Background: The use of primaquine for mass drug administration (MDA) is being considered as a key strategy for malaria elimination. In addition to being the only drug active against the dormant and relapsing forms of Plasmodium vivax, primaquine is the sole potent drug against mature/infectious Plasmodium falciparum gametocytes. It may prevent onward transmission and help contain the spread of artemisinin resistance.

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Where the Rubber Meets the Road - Research in the Amazon.

NEJM Evid

May 2022

Laboratório de Pesquisas Básicas em Malária, Instituto Evandro Chagas, Ministério, da Saúde do Brasil, Ananindeua, Pará State, Brazil.

Antimalarial Research in the AmazonMany patients who receive treatment for vivax malaria in the Americas present with recurrent infection within six months after completing treatment. This raises an important question: Does higher-dose primaquine work better than the treatment currently used in the Americas to prevent recurrences? This Clinical Trial Case Study describes the behind-the-scenes story of a randomized trial to evaluate antimalarial treatment efficacy in the Brazilian Amazon.

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