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[云南南部恶性疟原虫对甲氟喹、奎宁、阿莫地喹、氯喹、咯萘啶及磺胺多辛/乙胺嘧啶的体外敏感性]

[In vitro sensitivity of Plasmodium falciparum to mefloquine, quinine, amodiaquine, chloroquine, pyronaridine and sulfadoxine/pyrimethamine in south Yunnan].

作者信息

Yang H, Yang P, Yang Y

机构信息

Institute of Malaria Prevention and Treatment of Yunnan Province, Simao.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 1994;12(2):140-2.

PMID:7955166
Abstract

The sensitivity of P. falciparum to mefloquine, quinine, amodiaquine, chloroquine, pyronaridine, and sulfadoxine/pyrimethamine (MEF, QNN, AMO, CHL, PYR, S/P) was tested using in vitro microtest in south Yunnan Province in 1992. The ID50 were 46, 480, 52, 150, 15 and 2 x 10(4)/25 x 10(2) nmol/L, respectively; ID95 were 160, 1,536, 292, 680, 60 and 24 x 10(5)/3 x 10(5) nmol/L, respectively. All the isolates (30) were sensitive to MEF and QNN; 100% (30/30) and 96.7% (29/30) isolates were found to be resistant to AMO and CHL, the cross-resistance rate was 100% to the two drugs. One of 5 isolates exhibited resistance to PYR. The results suggest that the P. falciparum was susceptible to MEF and QNN, but was resistant to AMO, CHL and S/P. CHL-resistant P. falciparum showed a marked cross-resistance to AMO, but not to MEF, QNN, and S/P; AMO-resistant P. falciparum exhibited cross-resistance to CHL, but not to MEF, QNN, and S/P.

摘要

1992年在云南省南部采用体外微量试验检测了恶性疟原虫对甲氟喹、奎宁、氨酚喹、氯喹、咯萘啶和磺胺多辛/乙胺嘧啶(MEF、QNN、AMO、CHL、PYR、S/P)的敏感性。ID50分别为46、480、52、150、15和2×10(4)/25×10(2)nmol/L;ID95分别为160、1536、292、680、60和24×10(5)/3×10(5)nmol/L。所有分离株(30株)对MEF和QNN敏感;发现100%(30/30)和96.7%(29/30)的分离株对AMO和CHL耐药,两种药物的交叉耐药率为100%。5株分离株中有1株对PYR耐药。结果表明,恶性疟原虫对MEF和QNN敏感,但对AMO、CHL和S/P耐药。耐CHL的恶性疟原虫对AMO有明显的交叉耐药性,但对MEF、QNN和S/P无交叉耐药性;耐AMO的恶性疟原虫对CHL有交叉耐药性,但对MEF、QNN和S/P无交叉耐药性。

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