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1 d the impact of dhps genotype on response to sulfadoxine.
2 of the antifolate combination pyrimethamine/sulfadoxine.
3 ays) and sulfadoxine-pyrimethamine (25 mg/kg sulfadoxine, 1.25 mg/kg pyrimethamine, single dose); amo
4 ks were randomly assigned in blocks of 16 to sulfadoxine (250 mg) plus pyrimethamine (12.5 mg; n=319
5 dren were treated with either chloroquine or sulfadoxine\#8211;pyrimethamine and followed for 28 days
6 terval [CI], 93 to 100), and the efficacy of sulfadoxine\#8211;pyrimethamine was 21% (95% CI, 13 to 3
8 stions about any policy to use pyrimethamine-sulfadoxine alone as the first-line treatment for malari
9 ard regimens of chloroquine or pyrimethamine-sulfadoxine alone or in combination with 1 or 3 doses of
11 aged 6 months to 5 years to receive 25 mg/kg sulfadoxine and 1.25 mg/kg pyrimethamine plus either pla
12 Tp with sulfadoxine-pyrimethamine (500 mg of sulfadoxine and 25 mg of pyrimethamine for 1 day), month
13 s lowest in those who received pyrimethamine-sulfadoxine and 3 doses of artesunate, and it was 8-fold
15 replace chloroquine with the combination of sulfadoxine and pyrimethamine for the treatment of malar
17 reening, prophylaxis with the combination of sulfadoxine and pyrimethamine, and treatment, as needed.
18 receive sulfadoxine/pyrimethamine (25 mg/kg sulfadoxine, and 1.25 mg/kg pyrimethamine) plus placebo;
19 Glu540 of DHPS was selected by pyrimethamine-sulfadoxine but not chlorproguanil-dapsone treatment, sh
22 loroquine, and the combination pyrimethamine-sulfadoxine is the most commonly chosen alternative.
23 f lumefantrine (n = 279), quinine (n = 104), sulfadoxine (n = 67), artemisinin (n = 28), chloroquine
24 ks after treatment with either pyrimethamine-sulfadoxine or chlorproguanil-dapsone was analyzed for v
25 rve (AUC(0-->infinity)) or the half-lives of sulfadoxine or pyrimethamine in prepartum or postpartum
27 fects of vitamin A and the antimalarial drug sulfadoxine pyramethamine (SP) on erythropoietin product
28 ria in infants aged 2-11 months, but neither sulfadoxine-pyrimethamine (-6.7%, -45.9 to 22.0) nor chl
29 thamine (44/125 [35%]) than with amodiaquine+sulfadoxine-pyrimethamine (12/129 [9%]; risk difference
30 for retreatment over 28 days for amodiaquine+sulfadoxine-pyrimethamine (17/129 [13%]) and amodiaquine
31 eive: chloroquine (25 mg/kg over 3 days) and sulfadoxine-pyrimethamine (25 mg/kg sulfadoxine, 1.25 mg
32 k (RR) 0.97 [95% CI 0.84-1.12]; p = 0.70) or sulfadoxine-pyrimethamine (30.0% versus 26.4%, RR 1.14 [
33 re was significantly higher with chloroquine+sulfadoxine-pyrimethamine (44/125 [35%]) than with amodi
34 and gravidity, to receive monthly IPTp with sulfadoxine-pyrimethamine (500 mg of sulfadoxine and 25
35 slightly larger antimalarial effect than did sulfadoxine-pyrimethamine (8 g, -9 to 26), although more
36 lorproguanil-dapsone was less effective than sulfadoxine-pyrimethamine (adjusted odds ratio [OR], 6.4
38 iving intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) during pregnancy.
39 ermittent preventive therapy with 2 doses of sulfadoxine-pyrimethamine (IPTp-SP) is the mainstay of e
40 ttent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) would improve matern
47 % CI 0 to 13) in areas of high resistance to sulfadoxine-pyrimethamine (Lys540Glu >=90% in east and s
48 re enrolled and randomly assigned to receive sulfadoxine-pyrimethamine (n=391) or dihydroartemisinin-
49 3 days of amodiaquine (n=270), amodiaquine +sulfadoxine-pyrimethamine (n=507), or amodiaquine+artesu
50 ), or intermittent preventive treatment with sulfadoxine-pyrimethamine (n=515); 1368 (88%) women comp
51 monthly dihydroartemisinin-piperaquine with sulfadoxine-pyrimethamine (or another compound with non-
53 patients treated with chloroquine (CQ) plus sulfadoxine-pyrimethamine (SP) and amodiaquine (AQ) plus
55 afety and efficacy of this drug with that of sulfadoxine-pyrimethamine (SP) as treatment for uncompli
56 t in infants (IPTi) is the administration of sulfadoxine-pyrimethamine (SP) at 2, 3, and 9 months of
57 ntive treatment during pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) decreases placental malar
58 spectively studied amendable determinants of sulfadoxine-pyrimethamine (SP) efficacy involving 2869 t
61 d Health Organization advocates 2-3 doses of sulfadoxine-pyrimethamine (SP) for intermittent preventi
62 owever, parasites resistant to the IPTp drug sulfadoxine-pyrimethamine (SP) have emerged worldwide, a
63 rapy against malaria in pregnancy (IPT) with sulfadoxine-pyrimethamine (SP) in Malawi, the impacts of
64 artemisinin-piperaquine (DP) was superior to sulfadoxine-pyrimethamine (SP) in preventing maternal an
65 quine (AQ) is paired with artesunate (AS) or sulfadoxine-pyrimethamine (SP) in recommended antimalari
66 iparum genes Pfdhfr and Pfdhps have rendered sulfadoxine-pyrimethamine (SP) ineffective for malaria t
67 iveness of cotrimoxazole (CTX) compared with sulfadoxine-pyrimethamine (SP) intermittent-preventive-t
68 ffordable drugs such as chloroquine (CQ) and sulfadoxine-pyrimethamine (SP) is a major global health
70 ntive treatment during pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) is protective against mal
71 reventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) is recommended for malari
74 n used bednets and received a single dose of sulfadoxine-pyrimethamine (SP) on enrollment, followed b
75 Seasonal Malaria Chemoprevention (SMC) with sulfadoxine-pyrimethamine (SP) plus amodiaquine (AQ), gi
76 study of IPTp comparing the standard 2-dose sulfadoxine-pyrimethamine (SP) regimen with monthly IPTp
77 tations associated with chloroquine (CQ) and sulfadoxine-pyrimethamine (SP) resistance and the micros
80 t 6 mo of age to no chemoprevention, monthly sulfadoxine-pyrimethamine (SP), daily trimethoprim-sulfa
81 were treated for uncomplicated malaria with sulfadoxine-pyrimethamine (SP), SP + amodiaquine (AQ), o
82 revalence of malarial parasite resistance to sulfadoxine-pyrimethamine (SP), SP continues to be recom
83 s included placebo, artemether-lumefantrine, sulfadoxine-pyrimethamine (SP), SP+amodiaquine, SP+piper
86 Es) following simultaneous administration of sulfadoxine-pyrimethamine (SP-IPTi) with immunizations,
87 nthly DHA-PQ (120/960 mg DHA/PQ; n = 373) or sulfadoxine-pyrimethamine (SP; 1500/75 mg; n = 375) duri
88 falciparum parasites partially resistant to sulfadoxine-pyrimethamine (with quintuple mutations) pot
89 activity of dihydroartemisinin-piperaquine, sulfadoxine-pyrimethamine alone was associated with impr
90 is reduced in areas with high resistance to sulfadoxine-pyrimethamine among P falciparum parasites,
91 year and location with treatment studies of sulfadoxine-pyrimethamine among symptomatic children.
92 .48 [95 CI 1.04-2.12]; p = 0.03) compared to sulfadoxine-pyrimethamine and a higher risk of preterm d
93 seasonal malaria chemoprevention (SMC) with sulfadoxine-pyrimethamine and amodiaquine (SP-AQ) in chi
96 a double-blind, placebo-controlled trial of sulfadoxine-pyrimethamine and chlorproguanil-dapsone tre
97 ommended antimalarials, such as Chloroquine, Sulfadoxine-Pyrimethamine and oral Artesunate monotherap
98 ttent preventive treatment with two doses of sulfadoxine-pyrimethamine and the use of insecticide-tre
99 ium falciparum parasitemia were treated with sulfadoxine-pyrimethamine and were monitored for 28 days
101 ntly evaluated as a potential alternative to sulfadoxine-pyrimethamine as intermittent preventive tre
102 ial of IPTi in an area of high resistance to sulfadoxine-pyrimethamine at sites of moderate (n=1280 i
104 among neonates of women randomly assigned to sulfadoxine-pyrimethamine compared with women assigned t
107 ombining dihydroartemisinin-piperaquine plus sulfadoxine-pyrimethamine did not reduce the risk of a c
111 atment in pregnancy, and monthly amodiaquine-sulfadoxine-pyrimethamine during the rainy season months
112 cy (IPTp) from two doses to monthly doses of sulfadoxine-pyrimethamine during the second and third tr
113 In areas in which 1 of 4 treatments with sulfadoxine-pyrimethamine fail in children by day 14, th
114 , Uganda, were treated with amodiaquine plus sulfadoxine-pyrimethamine for 396 episodes of uncomplica
115 e is a promising alternative drug to replace sulfadoxine-pyrimethamine for intermittent preventive tr
116 ombining dihydroartemisinin-piperaquine plus sulfadoxine-pyrimethamine for IPTp did not improve birth
117 ampala, Uganda were treated with amodiaquine+sulfadoxine-pyrimethamine for uncomplicated malaria.
118 n the intermittent preventive treatment with sulfadoxine-pyrimethamine group (15 [3%] of 457 women vs
119 misinin-piperaquine group (9.2%) than in the sulfadoxine-pyrimethamine group (18.6%, P=0.05) or the t
120 as significantly lower than in the IPTp with sulfadoxine-pyrimethamine group (300 [74%] of 404 partic
121 icantly different from that in the IPTp with sulfadoxine-pyrimethamine group (352 [87%] of 403 partic
122 atic malaria was significantly higher in the sulfadoxine-pyrimethamine group (41 episodes over 43.0 p
123 ntal malaria was significantly higher in the sulfadoxine-pyrimethamine group (50.0%) than in the thre
124 roup (mean change 13 ms [SD 23]) than in the sulfadoxine-pyrimethamine group (mean change 0 ms [SD 23
126 the prevalence of parasitemia (40.5% in the sulfadoxine-pyrimethamine group vs. 16.6% in the three-d
127 1 (33%; mean age 24.9 years [SD 6.1]) to the sulfadoxine-pyrimethamine group, 1561 (33%; mean age 25.
128 having exit interviews (377 in the IPTp with sulfadoxine-pyrimethamine group, 408 in the IPTp with di
129 quine group, 5 of 290 patients (1.7%) in the sulfadoxine-pyrimethamine group, and 27 of 272 patients
130 mpared with 335 (23.3%) of 1435 women in the sulfadoxine-pyrimethamine group, the primary composite e
131 s compared to sulfadoxine-pyrimethamine, but sulfadoxine-pyrimethamine has been associated with impro
135 Schools were randomly assigned to treatment (sulfadoxine-pyrimethamine in combination with amodiaquin
136 ve to intermittent preventive treatment with sulfadoxine-pyrimethamine in the context of high sulfado
137 compared the effectiveness of daily CMX with sulfadoxine-pyrimethamine intermittent preventive treatm
138 pregnancy (chloroquine chemoprophylaxis and sulfadoxine-pyrimethamine intermittent treatment), and t
140 birthweight (primary outcome) and malaria by sulfadoxine-pyrimethamine IPTp dose, and for studies tha
141 nce in P falciparum and the effectiveness of sulfadoxine-pyrimethamine IPTp for malaria-associated ou
143 cipant data from 13 surveys (42 394 births), sulfadoxine-pyrimethamine IPTp was associated with reduc
144 asmodium falciparum to the antimalarial drug sulfadoxine-pyrimethamine is a result of extremely rare
149 African country to replace chloroquine with sulfadoxine-pyrimethamine nationwide in response to high
151 rmine the effect of increasing resistance to sulfadoxine-pyrimethamine on the efficacy of IPT during
153 ytes and asexual parasites more rapidly than sulfadoxine-pyrimethamine or chlorproguanil-dapsone did.
154 We defined treatment as random assignment to sulfadoxine-pyrimethamine or dihydroartemisinin-piperaqu
155 t preventive treatment during pregnancy with sulfadoxine-pyrimethamine or dihydroartemisinin-piperaqu
156 ot improve birth outcomes compared to either sulfadoxine-pyrimethamine or dihydroartemisinin-piperaqu
157 icts that the combination of chloroquine and sulfadoxine-pyrimethamine or fosmidomycin may be more ef
159 o evidence of an adverse effect of IPTi with sulfadoxine-pyrimethamine or other antimalarial drugs on
160 groups (18 and 15, respectively) than in the sulfadoxine-pyrimethamine or placebo groups (eight death
161 ther one dose of artesunate plus one dose of sulfadoxine-pyrimethamine or two placebos on three occas
162 ydroartemisinin-piperaquine (p = 0.0164) and sulfadoxine-pyrimethamine plus amodiaquine (p = 0.0451),
163 mbination of mefloquine-artesunate (MQAS) or sulfadoxine-pyrimethamine plus amodiaquine (SPAQ) was mo
164 as 63.6% (IQR 0.0-100.0; n=20; p=0.013) with sulfadoxine-pyrimethamine plus amodiaquine and 100% (100
165 seasonal malaria chemoprevention (SMC) with sulfadoxine-pyrimethamine plus amodiaquine and either AZ
166 We evaluated the effectiveness of SMC using sulfadoxine-pyrimethamine plus amodiaquine given over 5
167 uncomplicated Plasmodium falciparum malaria; sulfadoxine-pyrimethamine plus amodiaquine is used for s
168 the addition of azithromycin to the monthly sulfadoxine-pyrimethamine plus amodiaquine used for seas
169 and 100% (100.0-100.0; n=19; p<0.0001) with sulfadoxine-pyrimethamine plus amodiaquine with tafenoqu
170 ither azithromycin or placebo, together with sulfadoxine-pyrimethamine plus amodiaquine, during the a
171 nsiderable post-treatment transmission after sulfadoxine-pyrimethamine plus amodiaquine; therefore, t
172 zambique using monthly chemoprophylaxis with sulfadoxine-pyrimethamine plus artesunate to selectively
173 a chemoprevention (SMC) with amodiaquine and sulfadoxine-pyrimethamine provides substantial benefit t
175 l in children by day 14, the 2-dose IPT with sulfadoxine-pyrimethamine regimen continues to provide s
177 iation was consistent across a wide range of sulfadoxine-pyrimethamine resistance (0% to 96% dihydrop
178 gression to explore the modifying effects of sulfadoxine-pyrimethamine resistance (as indicated by Al
179 valence of molecular markers associated with sulfadoxine-pyrimethamine resistance after three years o
180 adoxine-pyrimethamine in the context of high sulfadoxine-pyrimethamine resistance and malaria transmi
182 o assess the associations between markers of sulfadoxine-pyrimethamine resistance in P falciparum and
183 egnant adolescents or women in Uganda, where sulfadoxine-pyrimethamine resistance is widespread.
185 d frequency of parasite mutations conferring sulfadoxine-pyrimethamine resistance might threaten the
186 dication with ACT along with predominance of sulfadoxine-pyrimethamine resistance parasite invoked a
187 , 112 g; 95% CI, 19-205 g) over the range of sulfadoxine-pyrimethamine resistance tested (8%-39%).
189 imates of malaria transmission intensity and sulfadoxine-pyrimethamine resistance, matched by study l
190 eductase Ile164Leu mutation, associated with sulfadoxine-pyrimethamine resistance, was also identifie
198 f the intermittent preventive treatment with sulfadoxine-pyrimethamine strategy recommended by WHO is
200 ent kits, which enabled teachers to dispense sulfadoxine-pyrimethamine tablets according to national
205 mmendation for coadministration of IPTi with sulfadoxine-pyrimethamine to infants at the time of the
207 the "quintuple mutant") were associated with sulfadoxine-pyrimethamine treatment failure but not with
208 tween the dihydroartemisinin-piperaquine and sulfadoxine-pyrimethamine treatment group (54 [16%] of 3
209 gly deployed in Africa, notably intermittent sulfadoxine-pyrimethamine treatment in pregnancy, and mo
212 t preventive therapy with 3 or more doses of sulfadoxine-pyrimethamine was associated with a higher b
213 ombining dihydroartemisinin-piperaquine plus sulfadoxine-pyrimethamine was associated with a higher r
214 clinical treatment failure with amodiaquine+sulfadoxine-pyrimethamine was balanced by a lower risk o
215 samples from 2368 children from sites where sulfadoxine-pyrimethamine was compared with placebo were
217 ation associated with clinical resistance to sulfadoxine-pyrimethamine was found in 0.8% of samples f
219 01), but dihydroartemisinin-piperaquine plus sulfadoxine-pyrimethamine was not associated with improv
220 e as a determinant of treatment outcome with sulfadoxine-pyrimethamine was retrospectively studied in
224 ntimalarial intermittent preventive therapy (sulfadoxine-pyrimethamine) and insecticide-treated mosqu
225 ure to malaria prevention (ITNs or IPTp with sulfadoxine-pyrimethamine) in pregnancy and birth outcom
227 % (95% CI, 21.1%-32.1%) for amodiaquine plus sulfadoxine-pyrimethamine, 17.4% (95% CI, 13.1%-23.1%) f
229 amodiaquine, 97 of 476 (20%) for amodiaquine+sulfadoxine-pyrimethamine, 54 of 491 (11%) for amodiaqui
230 of 3 combination therapies (amodiaquine plus sulfadoxine-pyrimethamine, amodiaquine plus artesunate,
232 quine+sulfadoxine-pyrimethamine, amodiaquine+sulfadoxine-pyrimethamine, and amodiaquine+artesunate fo
233 ized controlled trial comparing chloroquine, sulfadoxine-pyrimethamine, and chlorproguanil-dapsone fo
234 in-piperaquine than among those who received sulfadoxine-pyrimethamine, and monthly treatment with di
235 , and categories of resistance: chloroquine, sulfadoxine-pyrimethamine, artemisinin, and piperaquine.
236 wn superior antimalarial effects compared to sulfadoxine-pyrimethamine, but sulfadoxine-pyrimethamine
238 sion intensity with widespread resistance to sulfadoxine-pyrimethamine, findings may not be generaliz
239 with intermittent preventive treatment with sulfadoxine-pyrimethamine, intermittent preventive treat
241 However, with the spread of resistance to sulfadoxine-pyrimethamine, new interventions are needed.
243 sinin-piperaquine with the standard of care, sulfadoxine-pyrimethamine, showed dihydroartemisinin-pip
257 ose); amodiaquine (25 mg/kg over 3 days) and sulfadoxine-pyrimethamine; or amodiaquine and artesunate
258 y 54% (95% CI 36-66, p<0.0001) compared with sulfadoxine/ pyrimethamine alone and by 37% (12-54, p=0.
259 eria occurred in 13 of 131 (10%) patients on sulfadoxine/ pyrimethamine, nine of 131 (7%) on amodiaqu
260 a, Uganda, were randomly assigned to receive sulfadoxine/pyrimethamine (25 mg/kg sulfadoxine, and 1.2
262 between specific alleles and the failure of sulfadoxine/pyrimethamine (S/P) to clear the erythrocyti
263 n a thick film of blood and was treated with sulfadoxine/pyrimethamine (SP), in accordance with natio
264 hamine was significantly more effective than sulfadoxine/pyrimethamine alone in children aged younger
267 rimethamine, amodiaquine, and an amodiaquine/sulfadoxine/pyrimethamine combination for treatment of u
269 days was significantly more frequent in the sulfadoxine/pyrimethamine group (38 of 215, 18%) compare
271 up (38 of 215, 18%) compared with either the sulfadoxine/pyrimethamine plus amodiaquine group (two of
274 diaquine group (two of 164, 1%; p<0.0001) or sulfadoxine/pyrimethamine plus artesunate group (one of
278 /pyrimethamine, amodiaquine, and amodiaquine/sulfadoxine/pyrimethamine were all effective for treatme
282 ly Proguanil (the standard of care), monthly sulfadoxine/pyrimethamine-amodiaquine (SP-AQ), or monthl
287 teroate synthase gene (dhps) associated with sulfadoxine resistance and 5 microsatellite loci flankin
288 were common in Bolivia, where pyrimethamine-sulfadoxine resistance is widespread, but absent in Afri
290 e synthase (DHPS) and clinical pyrimethamine-sulfadoxine resistance, polymerase chain reaction survey
294 ries with increasing levels of pyrimethamine-sulfadoxine resistance: Mali, Kenya, Malawi, and Bolivia
295 oyed to identify a clear correlation between sulfadoxine-resistance levels and the number of DHPS mut
298 in the 16 progeny of a genetic cross between sulfadoxine-sensitive (HB3) and sulfadoxine-resistant (D
299 nts to replace chloroquine and pyrimethamine/sulfadoxine threatens efforts to control the spread of d
300 ng prepartum women, the median half-life for sulfadoxine was significantly shorter than that observed