Serveur d'exploration sur le lymphœdème

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Frequency, severity, and costs of adverse reactions following mass treatment for lymphatic filariasis using diethylcarbamazine and albendazole in Leogane, Haiti, 2000.

Identifieur interne : 008E94 ( Main/Exploration ); précédent : 008E93; suivant : 008E95

Frequency, severity, and costs of adverse reactions following mass treatment for lymphatic filariasis using diethylcarbamazine and albendazole in Leogane, Haiti, 2000.

Auteurs : Steven I. Mclaughlin [États-Unis] ; Jeanne Radday ; Marie Carmel Michel ; David G. Addiss ; Michael J. Beach ; Patrick J. Lammie ; John Lammie ; Richard Rheingans ; Jack Lafontant

Source :

RBID : pubmed:12812348

Descripteurs français

English descriptors

Abstract

In October 2000, 71,187 persons were treated for lymphatic filariasis using albendazole and diethylcarbamazine (DEC) or DEC alone in Leogane, Haiti. We documented the frequency of adverse reactions, severity and cost of treatment. Adverse reactions were classified as minor, moderate, or severe. Overall, 24% (17,421) of the treated persons reported one or more adverse reactions. There were 15,916 (91%) minor and 1502 (9%) moderate adverse reaction reports. Men outnumbered women 2:1 in reporting moderate problems. Three patients, representing roughly one in 25,000 persons treated, were hospitalized with severe adverse reactions judged to be treatment-associated by physician review. The cost per person treated for adverse reactions was more than twice the cost per person treated for lymphatic filariasis (dollar 1.60 versus dollar 0.71). Severe adverse reactions to lymphatic filariasis treatment using DEC with or without albendazole are uncommon. Minor and moderate reactions are more commonly reported and their management represents a challenge to lymphatic filariasis elimination programs.

PubMed: 12812348


Affiliations:


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Le document en format XML

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<term>Albendazole (economics)</term>
<term>Albendazole (therapeutic use)</term>
<term>Anthelmintics (adverse effects)</term>
<term>Anthelmintics (economics)</term>
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<term>Albendazole (usage thérapeutique)</term>
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<term>Antihelminthiques (effets indésirables)</term>
<term>Antihelminthiques (usage thérapeutique)</term>
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<term>Diéthylcarbamazine (usage thérapeutique)</term>
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<div type="abstract" xml:lang="en">In October 2000, 71,187 persons were treated for lymphatic filariasis using albendazole and diethylcarbamazine (DEC) or DEC alone in Leogane, Haiti. We documented the frequency of adverse reactions, severity and cost of treatment. Adverse reactions were classified as minor, moderate, or severe. Overall, 24% (17,421) of the treated persons reported one or more adverse reactions. There were 15,916 (91%) minor and 1502 (9%) moderate adverse reaction reports. Men outnumbered women 2:1 in reporting moderate problems. Three patients, representing roughly one in 25,000 persons treated, were hospitalized with severe adverse reactions judged to be treatment-associated by physician review. The cost per person treated for adverse reactions was more than twice the cost per person treated for lymphatic filariasis (dollar 1.60 versus dollar 0.71). Severe adverse reactions to lymphatic filariasis treatment using DEC with or without albendazole are uncommon. Minor and moderate reactions are more commonly reported and their management represents a challenge to lymphatic filariasis elimination programs.</div>
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