International journal of dermatology · 2009
Evaluation of treatment with pentamidine for cutaneous leishmaniasis in Suriname.
Оценочное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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van der Meide Wendy F, Sabajo Leslie O A, Jensema Annigje J, Peekel Inge, Faber William R, Schallig Henk D F H, Fat Rudy F M Lai A
Аннотация
BACKGROUND: In Suriname, pentamidine isethionate (PI) is the only drug available for the treatment of cutaneous leishmaniasis (CL). Recently, local dermatologists have observed an increase in CL patients not responding adequately to the standard doses.
METHODS: In this study, patient compliance to PI treatment was assessed, and its efficacy was evaluated by comparing the clinical criteria and parasitologic load in week 3 of treatment. Skin biopsies were collected before, during and at the end of therapy and tested by quantitative nucleic acid sequence-based amplification.
RESULTS: In total, 67 patients with suspected CL were enrolled during the recruitment period, of which only 23 patients with confirmed CL were followed until the end of treatment. All 23 patients were found to be infected with Leishmania (Viannia) guyanensis. A lower cure rate (76-78%) was estimated than that obtained previously (90%), and only 50% of the recruited CL patients finished the complete treatment schedule.
CONCLUSIONS: As one-half of the CL patients were treated insufficiently, a much shorter treatment protocol should be considered to improve the inadequate follow-up.
METHODS: In this study, patient compliance to PI treatment was assessed, and its efficacy was evaluated by comparing the clinical criteria and parasitologic load in week 3 of treatment. Skin biopsies were collected before, during and at the end of therapy and tested by quantitative nucleic acid sequence-based amplification.
RESULTS: In total, 67 patients with suspected CL were enrolled during the recruitment period, of which only 23 patients with confirmed CL were followed until the end of treatment. All 23 patients were found to be infected with Leishmania (Viannia) guyanensis. A lower cure rate (76-78%) was estimated than that obtained previously (90%), and only 50% of the recruited CL patients finished the complete treatment schedule.
CONCLUSIONS: As one-half of the CL patients were treated insufficiently, a much shorter treatment protocol should be considered to improve the inadequate follow-up.
Предметные рубрики MeSH
AdolescentAdultAnimalsCohort StudiesDeveloping CountriesDose-Response Relationship, DrugDrug Administration ScheduleEndemic DiseasesFemaleFollow-Up StudiesHumansInjections, IntramuscularLeishmaniaLeishmaniasis, CutaneousMaleMiddle AgedPatient CompliancePentamidinePolymerase Chain ReactionPolymorphism, Restriction Fragment LengthProbabilityRisk AssessmentSeverity of Illness IndexStatistics, NonparametricSurinameTreatment OutcomeYoung Adult