No rebound of morbidity following intermittent preventive sulfadoxine-pyrimethamine treatment of malaria in infants in Gabon

Martin P. Grobusch, Julian J. Gabor, John J. Aponte, Norbert G. Schwarz, Marc Poetschke, Jenny Doernemann, Katharina Schuster, Kai B. Koester, Katharina Profanter, Lea B. Borchert, Florian Kurth, Peter Pongratz, Saadou Issifou, Bertrand Lell, Peter G. Kremsner

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Abstract

In the context of a trial studying intermittent preventive sulfadoxine-pyrimethamine treatment of malaria in infants in Lambaréné, Gabon, children aged 18-30 months were followed up after having received their last dose at an age of 15 months. In the intention-to-treat population, the protective efficacy against all malaria episodes was -18.0 (95% confidence interval, -97.4 to 29.5; P = .529). The protective efficacy against first or only anemia episode was -45.3 (95% confidence interval, -234.5 to 36.3; P=.375). The protective efficacies were negative and were not statistically significant. These results do not appear to support the concept of a rebound effect after intermittent preventive sulfadoxine-pyrimethamine treatment of malaria in infants. Clinical trials registration. NCT00167843
Original languageEnglish
Pages (from-to)1658-1661
JournalJournal of infectious diseases
Volume200
Issue number11
DOIs
Publication statusPublished - 2009

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