Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study

ABSTRACT Background: Although primaquine (PQ) is indicated for G6PD-deficient patients, data on weekly PQ use in Brazil are limited. Methods: We aimed to investigate malaria recurrences among participants receiving daily and weekly PQ treatments in a real-life setting of two municipalities in the Amazon between 2019 and 2020. Results: Patients receiving weekly PQ treatment had a lower risk of recurrence than those receiving daily PQ treatment (risk ratio: 0.62, 95% confidence interval: 0.41-0.94), using a model adjusted for study site. Conclusions: Weekly PQ use did not increase the risk of malaria recurrence. Further studies with larger populations are warranted.

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Main Authors: Brito-Sousa,Jose Diego, Phanor,Jeffe, Balieiro,Patricia Carvalho da Silva, Silva-Neto,Alexandre Vilhena, Cordeiro,Jady Shayenne Mota, Vitor-Silva,Sheila, Mendes,Maxwell, Sampaio,Vanderson Souza, Melo,Gisely Cardoso de, Lacerda,Marcus, Monteiro,Wuelton
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822022000100613
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spelling oai:scielo:S0037-868220220001006132022-04-26Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort studyBrito-Sousa,Jose DiegoPhanor,JeffeBalieiro,Patricia Carvalho da SilvaSilva-Neto,Alexandre VilhenaCordeiro,Jady Shayenne MotaVitor-Silva,SheilaMendes,MaxwellSampaio,Vanderson SouzaMelo,Gisely Cardoso deLacerda,MarcusMonteiro,Wuelton Weekly primaquine Recurrences Brazilian Amazon Elimination G6PD deficiency ABSTRACT Background: Although primaquine (PQ) is indicated for G6PD-deficient patients, data on weekly PQ use in Brazil are limited. Methods: We aimed to investigate malaria recurrences among participants receiving daily and weekly PQ treatments in a real-life setting of two municipalities in the Amazon between 2019 and 2020. Results: Patients receiving weekly PQ treatment had a lower risk of recurrence than those receiving daily PQ treatment (risk ratio: 0.62, 95% confidence interval: 0.41-0.94), using a model adjusted for study site. Conclusions: Weekly PQ use did not increase the risk of malaria recurrence. Further studies with larger populations are warranted.info:eu-repo/semantics/openAccessSociedade Brasileira de Medicina Tropical - SBMTRevista da Sociedade Brasileira de Medicina Tropical v.55 20222022-01-01info:eu-repo/semantics/othertext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822022000100613en10.1590/0037-8682-0738-2021
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country Brasil
countrycode BR
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libraryname SciELO
language English
format Digital
author Brito-Sousa,Jose Diego
Phanor,Jeffe
Balieiro,Patricia Carvalho da Silva
Silva-Neto,Alexandre Vilhena
Cordeiro,Jady Shayenne Mota
Vitor-Silva,Sheila
Mendes,Maxwell
Sampaio,Vanderson Souza
Melo,Gisely Cardoso de
Lacerda,Marcus
Monteiro,Wuelton
spellingShingle Brito-Sousa,Jose Diego
Phanor,Jeffe
Balieiro,Patricia Carvalho da Silva
Silva-Neto,Alexandre Vilhena
Cordeiro,Jady Shayenne Mota
Vitor-Silva,Sheila
Mendes,Maxwell
Sampaio,Vanderson Souza
Melo,Gisely Cardoso de
Lacerda,Marcus
Monteiro,Wuelton
Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study
author_facet Brito-Sousa,Jose Diego
Phanor,Jeffe
Balieiro,Patricia Carvalho da Silva
Silva-Neto,Alexandre Vilhena
Cordeiro,Jady Shayenne Mota
Vitor-Silva,Sheila
Mendes,Maxwell
Sampaio,Vanderson Souza
Melo,Gisely Cardoso de
Lacerda,Marcus
Monteiro,Wuelton
author_sort Brito-Sousa,Jose Diego
title Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study
title_short Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study
title_full Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study
title_fullStr Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study
title_full_unstemmed Effect of weekly versus daily primaquine on Plasmodium vivax malaria recurrences: A real-life cohort study
title_sort effect of weekly versus daily primaquine on plasmodium vivax malaria recurrences: a real-life cohort study
description ABSTRACT Background: Although primaquine (PQ) is indicated for G6PD-deficient patients, data on weekly PQ use in Brazil are limited. Methods: We aimed to investigate malaria recurrences among participants receiving daily and weekly PQ treatments in a real-life setting of two municipalities in the Amazon between 2019 and 2020. Results: Patients receiving weekly PQ treatment had a lower risk of recurrence than those receiving daily PQ treatment (risk ratio: 0.62, 95% confidence interval: 0.41-0.94), using a model adjusted for study site. Conclusions: Weekly PQ use did not increase the risk of malaria recurrence. Further studies with larger populations are warranted.
publisher Sociedade Brasileira de Medicina Tropical - SBMT
publishDate 2022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822022000100613
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