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Doxycycline treatment of Brugia malayi-infected persons reduces microfilaremia and adverse reactions after diethylcarbamazine and albendazole treatment.

Identifieur interne : 002C66 ( Ncbi/Merge ); précédent : 002C65; suivant : 002C67

Doxycycline treatment of Brugia malayi-infected persons reduces microfilaremia and adverse reactions after diethylcarbamazine and albendazole treatment.

Auteurs : Taniawati Supali [Indonésie] ; Yenny Djuardi ; Kenneth M. Pfarr ; Heri Wibowo ; Mark J. Taylor ; Achim Hoerauf ; Jeanine J. Houwing-Duistermaat ; M. Yazdanbakhsh ; Erliyani Sartono

Source :

RBID : pubmed:18419441

Descripteurs français

English descriptors

Abstract

The efficacy of doxycycline for treating the causal agent of human lymphatic filariasis, Brugia malayi, is unknown. Standard treatment with diethylcarbamazine-albendazole is associated with adverse reactions. We assessed whether doxycycline alone or in combination with diethylcarbamazine-albendazole would lead to sustained amicrofilaremia and reduced incidence of adverse reactions.

DOI: 10.1086/586753
PubMed: 18419441

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pubmed:18419441

Le document en format XML

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<term>Albendazole (therapeutic use)</term>
<term>Animals</term>
<term>Brugia malayi (drug effects)</term>
<term>Child</term>
<term>Diethylcarbamazine (adverse effects)</term>
<term>Diethylcarbamazine (therapeutic use)</term>
<term>Double-Blind Method</term>
<term>Doxycycline (therapeutic use)</term>
<term>Drug Therapy, Combination</term>
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<term>Filaricides (adverse effects)</term>
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<term>Adulte d'âge moyen</term>
<term>Albendazole (effets indésirables)</term>
<term>Albendazole (usage thérapeutique)</term>
<term>Animaux</term>
<term>Association de médicaments</term>
<term>Brugia malayi ()</term>
<term>Diéthylcarbamazine (effets indésirables)</term>
<term>Diéthylcarbamazine (usage thérapeutique)</term>
<term>Doxycycline (usage thérapeutique)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Filaricides (effets indésirables)</term>
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<term>Filariose lymphatique (traitement médicamenteux)</term>
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<term>Albendazole</term>
<term>Diethylcarbamazine</term>
<term>Filaricides</term>
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<term>Albendazole</term>
<term>Diethylcarbamazine</term>
<term>Doxycycline</term>
<term>Filaricides</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Brugia malayi</term>
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<term>Elephantiasis, Filarial</term>
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<term>Albendazole</term>
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<term>Filariose lymphatique</term>
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<term>Albendazole</term>
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<term>Aged</term>
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<term>Double-Blind Method</term>
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<div type="abstract" xml:lang="en">The efficacy of doxycycline for treating the causal agent of human lymphatic filariasis, Brugia malayi, is unknown. Standard treatment with diethylcarbamazine-albendazole is associated with adverse reactions. We assessed whether doxycycline alone or in combination with diethylcarbamazine-albendazole would lead to sustained amicrofilaremia and reduced incidence of adverse reactions.</div>
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<Month>04</Month>
<Day>18</Day>
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<DateCompleted>
<Year>2008</Year>
<Month>07</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>03</Day>
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<Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title>
<ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation>
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<ArticleTitle>Doxycycline treatment of Brugia malayi-infected persons reduces microfilaremia and adverse reactions after diethylcarbamazine and albendazole treatment.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The efficacy of doxycycline for treating the causal agent of human lymphatic filariasis, Brugia malayi, is unknown. Standard treatment with diethylcarbamazine-albendazole is associated with adverse reactions. We assessed whether doxycycline alone or in combination with diethylcarbamazine-albendazole would lead to sustained amicrofilaremia and reduced incidence of adverse reactions.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A double-blind, randomized, placebo-controlled 6-week field trial of doxycycline treatment (100 mg/day) of 161 persons infected with B. malayi was conducted. Four months after receiving doxycycline (n=119) or placebo (n=42), participants received diethylcarbamazine (6 mg/kg) plus albendazole (400 mg) or a matching placebo. Adverse reactions were assessed 48 and 60 h after administration of diethylcarbamazine-albendazole. Treatment efficacy was evaluated at 2, 4, and 12 months after the initial doxycycline treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Four months after beginning doxycycline treatment, Wolbachia loads were reduced by 98%. Doxycycline treatment reduced the prevalence of microfilaremia at 2, 4, and 12 months of follow-up (P<.001 for all time points). At the 1-year follow-up, prevalence was reduced by 77% and 87.5% in patients receiving doxycycline alone or doxycycline plus diethylcarbamazine-albendazole, respectively. In contrast, the reduction of microfilaremia in the group receiving placebo doxycycline plus diethylcarbamazine-albendazole was merely 26.7%. Adverse reactions were lowest in the group receiving doxycycline plus placebo diethylcarbamazine-albendazole and highest in the group receiving placebo doxycycline plus diethylcarbamazine-albendazole. The proportion of persons with high fever and severe adverse reactions was significantly reduced in the group treated with doxycycline plus diethylcarbamazine-albendazole.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A 6-week course of doxycycline, either alone or in combination with diethylcarbamazine-albendazole, leads to a decrease in microfilaremia and reduces adverse reactions to antifilarial treatment in B. malayi-infected persons.</AbstractText>
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<RefSource>Nature. 2017 Feb 1;542(7639):7</RefSource>
<PMID Version="1">28150793</PMID>
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<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<name sortKey="Houwing Duistermaat, Jeanine J" sort="Houwing Duistermaat, Jeanine J" uniqKey="Houwing Duistermaat J" first="Jeanine J" last="Houwing-Duistermaat">Jeanine J. Houwing-Duistermaat</name>
<name sortKey="Pfarr, Kenneth M" sort="Pfarr, Kenneth M" uniqKey="Pfarr K" first="Kenneth M" last="Pfarr">Kenneth M. Pfarr</name>
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HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i   -Sk "pubmed:18419441" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1 

Wicri

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