Title |
Rationale for recommending a lower dose of primaquine as a Plasmodium falciparum gametocytocide in populations where G6PD deficiency is common
|
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Published in |
Malaria Journal, December 2012
|
DOI | 10.1186/1475-2875-11-418 |
Pubmed ID | |
Authors |
Nicholas J White, Li Guo Qiao, Gao Qi, Lucio Luzzatto |
Abstract |
In areas of low malaria transmission, it is currently recommended that a single dose of primaquine (0.75 mg base/kg; 45 mg adult dose) be added to artemisinin combination treatment (ACT) in acute falciparum malaria to block malaria transmission. Review of studies of transmission-blocking activity based on the infectivity of patients or volunteers to anopheline mosquitoes, and of haemolytic toxicity in glucose 6-dehydrogenase (G6PD) deficient subjects, suggests that a lower primaquine dose (0.25 mg base/kg) would be safer and equally effective. This lower dose could be deployed together with ACTs without G6PD testing wherever use of a specific gametocytocide is indicated. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Tanzania, United Republic of | 1 | <1% |
Indonesia | 1 | <1% |
Brazil | 1 | <1% |
United Kingdom | 1 | <1% |
Thailand | 1 | <1% |
United States | 1 | <1% |
Unknown | 161 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 31 | 19% |
Student > Ph. D. Student | 26 | 16% |
Student > Master | 22 | 13% |
Other | 15 | 9% |
Student > Doctoral Student | 11 | 7% |
Other | 31 | 19% |
Unknown | 31 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 48 | 29% |
Agricultural and Biological Sciences | 28 | 17% |
Biochemistry, Genetics and Molecular Biology | 17 | 10% |
Chemistry | 5 | 3% |
Immunology and Microbiology | 5 | 3% |
Other | 28 | 17% |
Unknown | 36 | 22% |