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抗药性疟疾:ACT 时代。

Drug-Resistant Malaria: The Era of ACT.

机构信息

Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, NC, 27514, USA,

出版信息

Curr Infect Dis Rep. 2010 May;12(3):165-73. doi: 10.1007/s11908-010-0099-y.

DOI:10.1007/s11908-010-0099-y
PMID:21308525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3058555/
Abstract

As drug-resistant falciparum malaria has continued to evolve and spread worldwide, artemisinin-based combination therapies (ACT) have become the centerpiece of global malaria control over the past decade. This review discusses how advances in antimalarial drug resistance monitoring and rational use of the array of ACTs now available can maximize the impact of this highly efficacious therapy, even as resistance to artemisinins is emerging in Southeast Asia.

摘要

随着耐药性恶性疟原虫在全球范围内不断演变和传播,以青蒿素为基础的联合疗法(ACT)在过去十年中已成为全球疟疾控制的核心。本文讨论了如何在青蒿素耐药性监测和合理使用现有各类 ACT 方面取得进展,即使在东南亚出现抗青蒿素耐药性的情况下,也能最大限度地发挥这种高效疗法的作用。

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本文引用的文献

1
Decreased in vitro susceptibility of Plasmodium falciparum isolates to artesunate, mefloquine, chloroquine, and quinine in Cambodia from 2001 to 2007.2001 至 2007 年柬埔寨青蒿琥酯、甲氟喹、氯喹和奎宁对疟原虫分离株的体外敏感性降低。
Antimicrob Agents Chemother. 2010 May;54(5):2135-42. doi: 10.1128/AAC.01304-09. Epub 2010 Mar 1.
2
Plasmodium falciparum genome-wide scans for positive selection, recombination hot spots and resistance to antimalarial drugs.恶性疟原虫全基因组范围的正选择、重组热点分析和抗疟药物耐药性研究。
Nat Genet. 2010 Mar;42(3):268-71. doi: 10.1038/ng.528. Epub 2010 Jan 31.
3
In vivo parasitological measures of artemisinin susceptibility.体内寄生虫学青蒿素敏感性测量。
J Infect Dis. 2010 Feb 15;201(4):570-9. doi: 10.1086/650301.
4
Hyperparasitaemia and low dosing are an important source of anti-malarial drug resistance.寄生虫过度感染和低剂量用药是抗疟药物产生抗药性的一个重要原因。
Malar J. 2009 Nov 11;8:253. doi: 10.1186/1475-2875-8-253.
5
Artemisinin resistance on the Thai-Cambodian border.泰柬边境的青蒿素耐药性。
Lancet. 2009 Oct 24;374(9699):1419. doi: 10.1016/S0140-6736(09)61857-2.
6
Plasmodium falciparum multidrug resistance protein 1 and artemisinin-based combination therapy in Africa.非洲恶性疟原虫多药耐药蛋白1与青蒿素联合疗法
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Cochrane Database Syst Rev. 2009 Jul 8;2009(3):CD007483. doi: 10.1002/14651858.CD007483.pub2.