[Chemoprophylaxis of Plasmodium falciparum malaria by a combination of 100 mg of chloroquine and 200 mg of proguanil per day in a zone III of chloroquine resistance (Gabon). Study of 431 French soldiers]

Bull Soc Pathol Exot. 1991;84(1):80-93.
[Article in French]

Abstract

Incidence of P. falciparum malaria in french non-immune soldiers serving in Gabon for four months has increased from 21% in 1987 to 37% in 1988. Since 1989, in a first step, the personal protection measures were reinforced. Thereafter, the usual chemoprophylaxis (chloroquine 100 mg daily) was replaced by a daily association of chloroquine 100 mg and proguanil 200 mg. A 85% decrease of malaria incidence was observed in 431 soldiers. The effects of the personal protection strengthening and of the new chemoprophylaxis can be evaluated to be respectively responsible for 50% and 71% decrease. Among the secondary effects, gastric pain was the most frequent, but it was never a cause of chemoprophylaxis stopping. The mouth ulcer frequency was far lower than that elsewhere reported. No significant biological abnormalities could be related to the chloroquine-proguanil association.

Publication types

  • English Abstract

MeSH terms

  • Animals
  • Chloroquine / administration & dosage
  • Chloroquine / therapeutic use*
  • Drug Resistance
  • Drug Therapy, Combination
  • France / ethnology
  • Gabon
  • Humans
  • Malaria / drug therapy*
  • Military Personnel
  • Plasmodium falciparum*
  • Proguanil / administration & dosage
  • Proguanil / therapeutic use*

Substances

  • Chloroquine
  • Proguanil