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GLOBAL ADVANCED RESEARCH JOURNAL OF MEDICINE AND MEDICAL SCIENCES (GARJMMS) ISSN: 2315-5159

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January 2014 Vol. 3 Issue 1
 

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Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159

January 2014 Vol. 3(1), pp. 001-007

Copyright © 2014 Global Advanced Research Journals

 

 

Full Length Research Paper

 

Efficacy and safety of artemisinin – naphthoquine (ARCO®) in the treatment of uncomplicated Plasmodium falciparum among Sudanese adults

 

Bakri Y.M. Nour1,2*, Naser Mahmoud M. Hamed2, Ali Babekir Habour3, Abd Alla Abd Elkariem1,3, Ahmed A. Mohamadani2,3 and Osman K Saeed1,4

 

1Blue Nile National Institute for Communicable Diseases, University of Gezira, Wad Medani, Sudan

2Faculty of Medical Laboratory Sciences, University of Gezira, Wad Medani, Sudan

3Faculty of Medicine, University of Gezira, Wad Medani, Sudan

4Wad Medani College for Medical Sciences and Technology, Wad Medani, Sudan

 

*Corresponding Author E-mail: saeedosman82@yahoo.com    

 

Accepted 17 December, 2013

 

Abstract

 

Although artemisinin combined therapies (ACTs) offer great hope for Africa in controlling malaria, the ideal combination regimen remains uncertain. ARCO is a single dose treatment and proven to be efficacious, so this study aimed to assess the safety and efficacy of this new generation ACT in the treatment of uncomplicated Plasmodium falciparum among Sudanese adults. From November 2006 to March 2008, the efficacy and safety of Artemisinin + Naphthoquine (ARCO) in the treatment of uncomplicated Plasmodium falciparum was investigated in Eastern and Central of Sudan. 129 patients were enrolled in this study, and were treated with ARCO. All patients were followed up for 28 days according to the WHO-in vivo protocol-2003. The results obtained by ARCO study revealed that the fever clearance time (FCT) was (12.0 +/- 4.8 hours) and parasite clearance time (PCT) was (34.8+/-12.6 hours), Overall clinical and parasitological outcome showed that adequate clinical and parasitological response (ACPR) was 120/122 (98.4%), early treatment failure (ETF) was 0/122 (0%) and late clinical and parasitological failure (LCPF) was 2/122 (1.6) and no Gametogenesis was observed during the follow-up days. ARCO proved to be an effective ACT, was very safe and well tolerated, no adverse reaction detected -There was no new events and no adverse effects on bone marrow

 

Keywords: Sudan, malaria treatment, ACT, ARCO.