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科泰复(Coartem(®)):以患者为中心的疟疾管理十年。

Coartem(®): a decade of patient-centric malaria management.

机构信息

Tropical Medicines, Novartis Pharmaceuticals Corporation, One Health Plaza, East Hanover, NJ 07936-01080, USA.

出版信息

Expert Rev Anti Infect Ther. 2012 Jun;10(6):645-59. doi: 10.1586/eri.12.51. Epub 2012 May 3.

Abstract

The adoption of artemisinin-based combination therapy, together with other malaria control strategies, has played a significant role in reducing the burden of malaria in many endemic countries. The artemisinin-based combination therapy artemether-lumefantrine (AL; Coartem(®), Novartis Pharma AG, Basel, Switzerland) has demonstrated consistently high efficacy and safety for over a decade. Currently deployed as a first- or second-line treatment in most sub-Saharan African countries, its extensive use is endorsed by a lack of reported parasite resistance in Africa to date. With a focus on patient needs, AL offers a tailored formulation for infants and children, and packaging solutions to promote adherence. Working towards malaria elimination, innovative strategies using AL, such as treatment of asymptomatic carriers, will be of interest. AL has the potential to continue playing an important role in saving lives.

摘要

青蒿素类复方疗法的采用,以及其他疟疾控制策略,在许多疟疾流行国家减轻疟疾负担方面发挥了重要作用。青蒿素类复方疗法中的蒿甲醚-本芴醇(AL;科泰复,诺华制药公司,巴塞尔,瑞士)在过去十年中一直表现出高度的疗效和安全性。目前在大多数撒哈拉以南非洲国家作为一线或二线治疗药物广泛使用,而且迄今为止在非洲尚未报告寄生虫耐药性。AL 特别关注患者的需求,为婴幼儿提供量身定制的配方,并提供包装解决方案以提高用药依从性。为了实现消除疟疾的目标,使用 AL 的创新策略,如无症状带虫者的治疗,将是人们关注的重点。AL 有可能继续在拯救生命方面发挥重要作用。

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