Evidence map›Paper›PMID 19180204›Full record

ArticleGhana medical journal2008

Efficacy of amodiaquine/artesunate combination therapy for uncomplicated malaria in children under five years in ghana.

Ka Koram, L Quaye, B Abuaku

2 registry-linked trialsAbstract read
In one paragraph

Article in Ghana medical journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04167566 nacompletednot on this mapstarted 2017, after this paper: background citation

Exploring the Impact of Scaling up Mass Testing, Treatment and Tracking on Malaria Prevalence Among Children in the Pakro Sub District of Ghana

TypeinterventionalSponsorNoguchi Memorial Institute for Medical ResearchRan2017 to 2019Enrolled5,000ConditionsMalaria, Malaria, Asymptomatic ParasitaemiaArmsArtemisinin Combination Therapy ACTs
NCT04301531 nacompletednot on this mapstarted 2020, after this paper: background citation

Determining the Impact of Scaling up Mass Testing, Treatment and Tracking on Malaria Prevalence Among Children in the Pakro Sub District of Ghana

TypeinterventionalSponsorNoguchi Memorial Institute for Medical ResearchRan2020 to 2023Enrolled5,861ConditionsMalaria Asymptomatic ParasitaemiaArmsMass testing using RDTs, Treatment for all cases confirmed positive malaria cases with ACTs, Determination of Hb, Household survey, Community-base management of malaria
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Ex vivo Sensitivity Profile ofInfection and drug resistance · 2021
    Article
  8. Efficacy of Artemether-Lumefantrine on variousParasite epidemiology and control · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ka KoramDepartment of Epidemiology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, P. O. Box LG 581, Legon.
L Quaye
B Abuaku

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2005, following several years of declining efficacy of chloroquine, the Ministry of Health recommended the use of Amodiaquine/Artesunate combination therapy for the treatment of uncomplicated malaria. A system of continuous monitoring of therapeutic responses has been established in 10 district hospitals across the country. The data gathered will enable National Malaria Control Programme (NMCP) to respond to changes in the efficacy of the new treatment in a timely manner.

objectivesTo determine the 28 day therapeutic efficacy of Amodiaquine/Artesunate (AQ/AS) combination treatment in children with uncomplicated malaria in Ghana.

methodsChildren aged 6 - 59 months attending clinic with signs/symptoms of uncomplicated malaria at 9 district hospitals (3 in each of the 3 eco-epidemiological zones of the country) were eligible for enrolment. Enrolled children were followed up after treatment for a total of 28 days to record the clinical and parasitological resolution of their malaria episode as well as any adverse drug reactions.

resultsTreatment resulted in rapid and complete cure in almost all the children; 99.3% 14 days after treatment and 93.0%, 28 days after treatment. The majority of treatment failures on D28 were seen in the 3 sites located in the forest zones (Sunyani, Bekwai and Begoro). There was no case of Early Treatment Failure at both D14 and D28 assessments. Adverse events (AE's) were minimal, less than 4%, with the most common complaint being vomiting.

conclusionAQ/AS combination for uncomplicated malaria is efficacious and safe in children less than 5 years.

Indexed as

AmodiaquineArtemisinin-based Combination Therapy (ACTs)ArtesunateEfficacyUncomplicated malaria

Identifiers

PMID19180204
PMCPMC2631265

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.