Le Bras J, Dournon E, Lebas J, Charmot G, Payet M
Bull Soc Pathol Exot Filiales. 1980 Jul-Aug;73(4):411-8.
In vitro testing of P. falciparum chemosensitivity was assessed from 2 severe malaria cases in which the parasite was thought to be resistant to chloroquine. The 3 following methods were compared in both cases. 1.--Maturation test, carried out before and from the outset of treatment, is a rapid and simple method. Primary efficiency of therapeutic procedures can be estimate and the eventually adjust. 2.--Rieckmann test, on patient blood, measure chemosensitivity of host strain modulated by hosts factors. Initially proposed for epidemiological trials, this method is of interest for the choice of treatment at the end of acute phase in individuals cases. 3.--Strain chemosensitivity measurement, require one or more weeks of Plasmodium cultivation. This value will be very helpful to estimate the sensitivity level of P. falciparum to chloroquine in the outcoming strain area.
对2例重症疟疾病例进行了恶性疟原虫化学敏感性的体外检测,这2例中的疟原虫被认为对氯喹耐药。在这2例中对以下3种方法进行了比较。1.——成熟试验,在治疗前及治疗开始时进行,是一种快速简便的方法。可评估治疗程序的初步疗效并最终进行调整。2.——里克曼试验,以患者血液为样本,测量受宿主因素调节的宿主菌株的化学敏感性。该方法最初用于流行病学试验,对于个别病例急性期结束时的治疗选择具有重要意义。3.——菌株化学敏感性测量,需要对疟原虫进行1周或更长时间的培养。该数值对于评估即将出现疟原虫的地区恶性疟原虫对氯喹的敏感水平非常有帮助。