Early variations in plasmodium falciparum dynamics in Nigerian children after treatment with two artemisinin-based combinations: implications on delayed parasite clearance
2010

Effects of Two Malaria Treatments in Nigerian Children

Sample size: 193 publication 10 minutes Evidence: high

Author Information

Author(s): Michael Obaro S, Gbotosho Grace O, Folarin Onikepe A, Okuboyejo Titilope, Sowunmi Akintunde, Oduola Ayoade MJ, Happi Christian T

Primary Institution: University of Ibadan, Ibadan, Nigeria

Hypothesis

How do the early effects of artemether-lumefantrine and artesunate-amodiaquine on malaria parasites differ in Nigerian children?

Conclusion

Both artemether-lumefantrine and artesunate-amodiaquine are highly effective in treating malaria in Nigerian children, with similar efficacy and minimal side effects.

Supporting Evidence

  • 42% of children receiving artemether-lumefantrine showed an initial rise in parasitaemia.
  • Both treatments had cure rates above 90% at days 3, 7, 14, 28, and 42.
  • Adverse events were mild and transient, with no serious complications reported.

Takeaway

This study looked at how two malaria treatments work in kids. Both treatments are good at getting rid of the malaria bugs quickly.

Methodology

The study was a randomized controlled trial comparing the effects of artemether-lumefantrine and artesunate-amodiaquine on malaria in children aged 12 to 132 months.

Potential Biases

Potential bias due to lack of blinding in treatment allocation.

Limitations

The study was not blinded, and the follow-up period may not capture long-term effects.

Participant Demographics

Children aged 12 to 132 months, with a mix of male and female participants.

Statistical Information

P-Value

0.377

Confidence Interval

95% CI: 5.95 - 7.38 for age

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-9-335

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