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Wiley InterScience

Journal of Travel Medicine

Journal of Travel Medicine

Volume 12 Issue 3, Pages 133 - 135

Published Online: 8 Mar 2006

© 2010 International Society of Travel Medicine



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Adequate Primaquine for Vivax Malaria
Kitchener Scott 1 Nasveld Peter 1 Bennett Sonya 1 Torresi Joseph 1
  1 Scott Kitchener, MBBS, DrPH: Centre for Military and Veterans— Health, Herston, Australia; Peter Nasveld, MBBS, FACTM: Senior Research Physician, Army Malaria Institute, Gallipoli Barracks, Queensland, Australia; Sonya Bennett, MBBS, FRACGP: Research Coordinator, Centre for Military and Veterans— Health, Herston, Australia; Joseph Torresi, MBBS, FRACP: Infectious Disease Specialist, Victorian Infectious Disease Service, Melbourne, Australia
Correspondence to  Reprint requests: Scott Kitchener, MBBS, DrPH, Centre for Military and Veterans— Health, Mayne Medical School, Herston Rd, Herston 4006, Queensland, Australia.
Copyright 2005 by the International Society of Travel Medicine

ABSTRACT

Background: Treatment of vivax malaria with primaquine prevents the relapse of infection from residual liver stages of the parasite. Inadequate dosage is related to a higher relapse risk.

Methods: A comparison was made of vivax malaria relapse–prevention treatments with primaquine 22.5 mg or 30 mg daily for 14 days on 146 reports to the Australian Army Central Malaria Register.

Results: The lower dose of primaquine was found to carry a relative risk of 6.63 for a relapse of vivax malaria compared with the higher dose.

Conclusions: The available data presented here suggest that vivax malaria in this region is increasingly tolerant of the 22.5 mg daily treatment regimen of primaquine and that the greater dose of at least 30 mg daily is more effective.


DIGITAL OBJECT IDENTIFIER (DOI)
10.2310/7060.2005.12306 About DOI

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