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疟原虫耐药性的历史、动态变化及公共卫生重要性。

History, dynamics, and public health importance of malaria parasite resistance.

作者信息

Talisuna Ambrose O, Bloland Peter, D'Alessandro Umberto

机构信息

Ministry of Health, Epidemiological Surveillance Division, Kampala, Uganda.

出版信息

Clin Microbiol Rev. 2004 Jan;17(1):235-54. doi: 10.1128/CMR.17.1.235-254.2004.

Abstract

Despite considerable efforts, malaria is still one of the most devastating infectious diseases in the tropics. The rapid spread of antimalarial drug resistance currently compounds this grim picture. In this paper, we review the history of antimalarial drug resistance and the methods for monitoring it and assess the current magnitude and burden of parasite resistance to two commonly used drugs: chloroquine and sulfadoxine-pyrimethamine. Furthermore, we review the factors involved in the emergence and spread of drug resistance and highlight its public health importance. Finally, we discuss ways of dealing with such a problem by using combination therapy and suggest some of the research themes needing urgent answers.

摘要

尽管付出了巨大努力,但疟疾仍是热带地区最具毁灭性的传染病之一。目前,抗疟药物耐药性的迅速传播使这一严峻形势更加复杂。在本文中,我们回顾了抗疟药物耐药性的历史及其监测方法,并评估了目前疟原虫对两种常用药物——氯喹和磺胺多辛-乙胺嘧啶的耐药程度及负担。此外,我们还回顾了耐药性产生和传播所涉及的因素,并强调了其对公共卫生的重要性。最后,我们讨论了通过联合疗法应对这一问题的方法,并提出了一些亟待解答的研究主题。

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本文引用的文献

1
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Parasitol Today. 1993 May;9(5):168-74. doi: 10.1016/0169-4758(93)90140-b.
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Pitfalls in a discovery: the chronicle of chloroquine.一项发现中的陷阱:氯喹纪事
Am J Trop Med Hyg. 1963 Mar;12:121-8. doi: 10.4269/ajtmh.1963.12.121.

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