Terapêutica e profilaxia da malária. Revisão

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Data

1994-05

Título da Revista

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Editor

Ruy de Souza Lino Junior

Resumo

There is still no immediate prospect of substantial improvement on control and possibility of erradication of malária. The old strategy to reduce malária transmission by vector control hás failed, and nowadays the hope is towards the vaccine. However, the vaccine is not available yet, só that treatment and preventive measures are the only accessible tools up to now. In this review the main approach will be on antimalarial falciparum drugs. The drug choice to Plasmodium ovale, P. malariae and P. vivax lasts to be the chloroquine. Thus, to P. falciparum the drug choice depends on the sensitivity of the strains in that region or country. There is an increased resistance to novel drugs such as mefloquine and halofantrine, but the arthemisin is a great hope to the future. Nowadays, the best drug for treating malária falciparum in Brazil is quinine plus tetracicline. Exchange transfusion is a controvérsia! additional measure used i.e., in cerebral malária and when eritrocytes parasited are grater than 10%. Pregnant woniun should receive quinino, because there is no real evidence it may cause damage. Thus, lhere is a great need for new drugs with no compromised efficacy by drug resistance. Such drugs must to be used with caution and care in order minimize the risk of emerging resistance.

Descrição

Palavras-chave

Malária, Plasmodium falciparum, Plasmodium malarie, Plasmodium vivax, Resistência a drogas, Profilaxia, Terapêutica, Drugs resistence, Prophylaxis, Treatment

Citação

ANDRADE, João Guimarães de. Terapêutica e profilaxia da malária. Revisão. Revista de Patologia Tropical, Goiânia, v. 23, n. 2, p. 181-190, jul./dez. 1994. Disponível em: <https://www.revistas.ufg.br/iptsp/article/view/20021/11593>.