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用蒿甲醚和吡喹酮对多次感染日本血吸虫尾蚴的家兔进行早期治疗。

Early treatment with artemether and praziquantel in rabbits repeatedly infected with Schistosoma japonicum cercariae.

作者信息

Xiao S, You J, Mei J, Jiao P, Guo H, Feng J, Wang S, Xie R

机构信息

Chinese Academy of Preventive Medicine, WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Shanghai.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 1994;12(4):252-6.

PMID:7720196
Abstract

When rabbits infected with 48-52 Schistosoma japonicum cercariae once every wk for 6 times or every other day for 5 times were treated ig with artemether (Art) 10 or 15 mg.kg-1 on d7 after the first infection, followed by the repeated administration of the same dose once every 1-2 wk, a promising effect was seen in the groups treated with Art at higher dose. In another group of rabbits with the same drug administration regimens of praziquantel (Pra) were also used in early treatment, but the initial dose was given on d21 after the first infection. The results showed that Pra given at 40 mg.kg-1 in each administration was more promising than the lower dose of 30 mg.kg-1 especially in group treated at 2 wk intervals. Further study indicated that the presence of adult schistosomes in rabbits increased the effect of Pra not only on 21-day-old schistosomule, but also on 14-day-old schistosomules. The results suggest that Art and Pra could be used in field trial for controlling acute schistosomiasis and decreasing the intensity of schistosomal infection.

摘要

当兔子每周感染48 - 52条日本血吸虫尾蚴,共感染6次,或每隔一天感染一次,共感染5次后,在首次感染后第7天给予蒿甲醚(Art)10或15 mg·kg⁻¹进行灌胃治疗,随后每1 - 2周重复给予相同剂量,高剂量蒿甲醚治疗组呈现出良好效果。另一组兔子采用相同给药方案,吡喹酮(Pra)在首次感染后第21天开始早期治疗。结果显示,每次给予40 mg·kg⁻¹吡喹酮比30 mg·kg⁻¹的低剂量更有效果,尤其是在间隔2周治疗的组中。进一步研究表明,兔子体内成虫的存在不仅增强了吡喹酮对21日龄童虫的作用,对14日龄童虫也有增强作用。结果表明,蒿甲醚和吡喹酮可用于现场试验,以控制急性血吸虫病并降低血吸虫感染强度。

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