%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture non répertoriées par l'AERES %A Rogier, C. %A Brau, R. %A Tall, A. %A Cisse, B. %A Trape, Jean-François %T Reducing the oral quinine-quinidine-cinchonin (Quinimax) treatment of uncomplicated malaria to three days does not increase the recurrence of attacks among children living in a highly endemic area of Senegal %D 1996 %L fdi:010005230 %G ENG %J Transactions of the Royal Society of Tropical Medicine and Hygiene %@ 0035-9203 %K PALUDISME ; CHIMIOPROPHYLAXIE ; TRAITEMENT MEDICAL ; SENSIBILITE RESISTANCE ; EFFICACITE ; ENFANT %K QUININE ; QUINIDINE ; CINCHONINE ; QUINIMAX %K SENEGAL %N 2 %P 175-178 %R 10.1016/S0035-9203(96)90128-5 %U https://www.documentation.ird.fr/hor/fdi:010005230 %> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/pleins_textes_6/b_fdi_43-44/010005230.pdf %V 90 %W Horizon (IRD) %X A 3 d shortened course of the quinine-quinidine-cinchonin association Quinimax (trademark) was compared to the usual 7 d regimen for routinely treating 462 acute uncomplicated #Plasmodium falciparum$ malaria attacks in 72 children under the age of 10 years in Dielmo, a holoendemic village in Senegal. 25 mg/kg Quinimax (trademark) salt daily, given in 3 equal doses, improved clinical status in 99.6% of the patients receiving the course and in all of those treated for 7 d. Even if the 3 d course did not systematically eliminate parasitaemia, reducing oral Quinimax (trademark) treatment of uncomplicated malaria from 7 to 3 d did not increase the recurrence of attacks, even among the youngest children. Both the quinine sensitivity of the Senegalese strains of #P. falciparum$ and the partial acquired immunity of the children were probably responsible for the absence of any difference between the courses. Oral Quinimax (trademark) for 3 d is a possible alternative regimen to chloroquine and sulfadoxine-pyrimethamine for treating uncomplicated malaria in highly endemic areas of Africa where clinical resistance to these drugs exists. (Résumé d'auteur) %$ 052ANOPAL04