Cited by 179Malaria Research and ControlPhytochemical compounds biological activitiesPharmaceutical Quality and Counterfeiting

Artemisinin Antimalarials in Pregnancy: A Prospective Treatment Study of 539 Episodes of Multidrug‐Resistant Plasmodium falciparum

McGready, Rose, Cho, Thein, Keo, Napaporn Khan, Thwai, Kyaw Lay, Villegas, Leopoldo, Looareesuwan, Sornchai, White, Nicholas J., Nosten, François·2001·Clinical Infectious Diseases

Abstract

The emergence and spread of multidrug-resistant Plasmodium falciparum compromises the treatment of malaria, especially during pregnancy, where the choice of antimalarials is already limited. Artesunate (n=528) or artemether (n=11) was used to treat 539 episodes of acute P. falciparum malaria in 461 pregnant women, including 44 first-trimester episodes. Most patients (310 [57.5%]) received re-treatments after earlier treatment with quinine or mefloquine. By use of survival analysis, the cumulative artemisinin failure rate for primary infections was 6.6% (95% confidence interval, 1.0-12.3), compared with the re-treatment failure rate of 21.7% (95% confidence interval, 15.4-28.0; P=.004). The artemisinins were well tolerated with no evidence of adverse effects. Birth outcomes did not differ significantly to community rates for abortion, stillbirth, congenital abnormality, and mean gestation at delivery. These results are reassuring, but further information about the safety of these valuable antimalarials in pregnancy is needed.

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Crossref · 10.1086/324349

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18 of 18 references verified0 citation errors · 0 not checkable

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  • The cumulative failure rate reported in only one study was 6.6% across all trimesters (n=461).

    “and the cumulative failure rate reported in only one study was 6.6% across all trimesters (n=461).118”

    From Malaria in pregnancy. (2013) · cites this paper as [118]

  • Artemisinin derivatives were relatively safe (n=1937) in the first trimester of pregnancy.

    “Artemisinin derivatives were relatively safe (n=1937) in the first trimester of pregnancy42,118–119 and the cumulative failure rate reported in only one study was 6.6% across all trimesters (n=461).118”

    From Malaria in pregnancy. (2013) · cites this paper as [118]

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Authors
McGready, R., Cho, T., Keo, N. K., Thwai, K. L., Villegas, L., Looareesuwan, S., White, N. J., & Nosten, F.
Affiliations
  • Mahidol University (TH)
  • Shoklo Malaria Research Unit (TH)
Venue
Clinical Infectious Diseases
Published
2001-12-15
Volume
33
Issue
12
Pages
2009-2016
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2170827091
Cited by
178
References
19
Citations by year
2026: 2 · 2023: 10 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 5 · 2013: 6 · 2012: 9
FWCI
9.64
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Phytochemical compounds biological activities
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pharmaceutical Quality and Counterfeiting
Keywords
artemether, artesunate, Plasmodium falciparum, multidrug resistance, malaria in pregnancy, antimalarial treatment failure, birth outcomes, drug safety in pregnancy
MeSH terms
Animals, Antimalarials, Female, Humans, Plasmodium falciparum, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Prospective Studies, Sesquiterpenes, Malaria, Falciparum, Treatment Outcome, Drug Resistance, Multiple, Artemisinins

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