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本文引用的文献

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Artemisinin resistance in Plasmodium falciparum malaria.恶性疟原虫疟疾中的青蒿素耐药性。
N Engl J Med. 2009 Jul 30;361(5):455-67. doi: 10.1056/NEJMoa0808859.
2
Misclassification of drug failure in Plasmodium falciparum clinical trials in southeast Asia.东南亚恶性疟原虫临床试验中药物治疗失败的错误分类。
J Infect Dis. 2009 Aug 15;200(4):624-8. doi: 10.1086/600892.
3
Competitive facilitation of drug-resistant Plasmodium falciparum malaria parasites in pregnant women who receive preventive treatment.在接受预防性治疗的孕妇中,耐药恶性疟原虫疟疾寄生虫的竞争性促进作用。
Proc Natl Acad Sci U S A. 2009 Jun 2;106(22):9027-32. doi: 10.1073/pnas.0901415106. Epub 2009 May 18.
4
Novel pfdhps haplotypes among imported cases of Plasmodium falciparum malaria in the United Kingdom.英国输入性恶性疟原虫疟疾病例中的新型pfdhps单倍型
Antimicrob Agents Chemother. 2009 Aug;53(8):3405-10. doi: 10.1128/AAC.00024-09. Epub 2009 May 11.
5
Cross-sectional characterization of HIV-1 env compartmentalization in cerebrospinal fluid over the full disease course.在整个疾病过程中对脑脊液中 HIV-1 env 隔室化的横断面特征进行描述。
AIDS. 2009 May 15;23(8):907-15. doi: 10.1097/QAD.0b013e3283299129.
6
Novel dhps and pfcrt polymorphisms in Plasmodium falciparum detected by heteroduplex tracking assay.通过异源双链追踪分析检测到的恶性疟原虫新型二氢蝶酸合酶(DHPS)和氯喹抗性转运蛋白(Pfcrt)多态性
Am J Trop Med Hyg. 2009 May;80(5):734-6.
7
Optimization and validation of multi-coloured capillary electrophoresis for genotyping of Plasmodium falciparum merozoite surface proteins (msp1 and 2).用于恶性疟原虫裂殖子表面蛋白(msp1和msp2)基因分型的多色毛细管电泳的优化与验证
Malar J. 2009 Apr 23;8:78. doi: 10.1186/1475-2875-8-78.
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Nonradioactive heteroduplex tracking assay for the detection of minority-variant chloroquine-resistant Plasmodium falciparum in Madagascar.用于检测马达加斯加少数变异型氯喹抗性恶性疟原虫的非放射性异源双链追踪分析
Malar J. 2009 Mar 16;8:47. doi: 10.1186/1475-2875-8-47.
9
Failure of artesunate-mefloquine combination therapy for uncomplicated Plasmodium falciparum malaria in southern Cambodia.青蒿琥酯-甲氟喹联合疗法治疗柬埔寨南部非复杂性恶性疟原虫疟疾失败。
Malar J. 2009 Jan 12;8:10. doi: 10.1186/1475-2875-8-10.
10
Extensive dynamics of Plasmodium falciparum densities, stages and genotyping profiles.恶性疟原虫密度、阶段和基因分型概况的广泛动态变化。
Malar J. 2008 Nov 21;7:241. doi: 10.1186/1475-2875-7-241.

PCR 的风险:我们能准确“纠正”抗疟试验吗?

The perils of PCR: can we accurately 'correct' antimalarial trials?

机构信息

Division of Infectious Diseases, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA.

出版信息

Trends Parasitol. 2010 Mar;26(3):119-24. doi: 10.1016/j.pt.2009.12.007. Epub 2010 Jan 18.

DOI:10.1016/j.pt.2009.12.007
PMID:20083436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2844636/
Abstract

During follow-up in antimalarial drug trials, treated subjects can be newly infected. PCR correction is used to distinguish this re-infection from drug failure (recrudescence) and to adjust final drug efficacy estimates. The epidemiological, biological and technical limitations of PCR correction and how this can lead to misclassification in drug trial outcomes are underappreciated. This article considers these limitations and proposes a framework for reporting, interpreting and improving PCR correction of antimalarial trials.

摘要

在抗疟药物试验的随访过程中,治疗对象可能会被新感染。聚合酶链反应(PCR)校正用于区分这种再感染和药物失败(复发),并调整最终药物疗效估计。PCR 校正的流行病学、生物学和技术局限性以及这如何导致药物试验结果的错误分类尚未得到充分认识。本文考虑了这些局限性,并提出了一个报告、解释和改进抗疟试验中 PCR 校正的框架。