|
Comparison of studies during which a rebound effect was observed upon termination of drug treatment. Studies are in the order they are cited in the text. |
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| Drug used (country) |
Ages of study group |
Duration of treatment |
Duration of post-intervention follow-up |
Effect on malaria morbidity |
Rebound effect |
Reference |
|
|
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| P-D1 (Tanzania) |
2 mo. at start of study |
Weekly for one year |
One year after termination of treatment |
Reduced incidence of clinical malaria by 40% during treatment period |
80% higher incidence of clinical episodes in treated group during the year following termination of treatment |
[17] |
| P-D (The Gambia) |
3 mo. at start of study |
Every 2 weeks for maximum of 5 years |
5 years |
65% reduction in malaria episodes after 3 years of chemoprophylaxis |
52% more cases in treated group during the year following termination of treatment |
[18, 22] |
| SP2 + artesunate (The Gambia) |
Entire villages, all ages |
MDA3 1 dose |
20 weeks |
Reduced rate of malaria attacks in children <11 yr by 60% |
Rate of clinical malaria was 69% higher in treated groups 3 months after treatment |
[25] |
| SP (Mali) |
3 mo. to 20 years |
MDA 1 dose |
24 weeks |
Reduced incidence of first malaria episode from 26% to 3% during first month |
Incidence of first malaria episodes in treated group rose to 42% compared to 17% (untreated group) during the third month after treatment |
[26] |
|
1P-D: pyrimethamine-dapsone 2SP: sulfadoxine-pyrimethamine 3MDA: mass drug administration | ||||||
O'Meara et al. Malaria Journal 2005 4:33 doi:10.1186/1475-2875-4-33 |
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