PMID- 16267768 OWN - NLM STAT- MEDLINE DCOM- 20060119 LR - 20131121 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 192 IP - 11 DP - 2005 Dec 1 TI - Parasitological rebound effect and emergence of pyrimethamine resistance in Plasmodium falciparum after single-dose sulfadoxine-pyrimethamine. PG - 1962-5 AB - Intermittent preventive treatment for malaria in infants (IPTi) is a promising malaria control strategy. However, mass preventive treatment for malaria inherently bears the risk of increasing drug resistance. Here, the effect of single-dose sulfadoxine-pyrimethamine (S-P) versus placebo on Plasmodium falciparum infection rates was assessed in 63 selected infants who were aparasitemic at enrollment. An increase in the proportion of infants with isolates exhibiting drug resistance-associated mutations was detected 3 weeks after drug application in the treatment group. S-P, in the setting of IPTi, appears to cause a parasitological rebound effect in which there is selection of drug-resistant parasites for a short period after drug clearance. FAU - Marks, Florian AU - Marks F AD - Infection Epidemiology Group, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany. FAU - von Kalckreuth, Vera AU - von Kalckreuth V FAU - Kobbe, Robin AU - Kobbe R FAU - Adjei, Samuel AU - Adjei S FAU - Adjei, Ohene AU - Adjei O FAU - Horstmann, Rolf D AU - Horstmann RD FAU - Meyer, Christian G AU - Meyer CG FAU - May, Jurgen AU - May J LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20051020 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Antimalarials) RN - 0 (Drug Combinations) RN - 37338-39-9 (fanasil, pyrimethamine drug combination) RN - 88463U4SM5 (Sulfadoxine) RN - Z3614QOX8W (Pyrimethamine) SB - IM EIN - J Infect Dis. 2006 May 1;193(9):1340 CIN - J Infect Dis. 2006 Jun 1;193(11):1609-10; author reply 1610-1. PMID: 16652293 MH - Animals MH - Antimalarials/*administration & dosage/therapeutic use MH - Drug Combinations MH - Drug Resistance/genetics MH - Humans MH - Infant MH - Malaria, Falciparum/*drug therapy/parasitology MH - Plasmodium falciparum/*drug effects/genetics/isolation & purification MH - Pyrimethamine/administration & dosage/*pharmacology/therapeutic use MH - Sulfadoxine/*administration & dosage/therapeutic use EDAT- 2005/11/04 09:00 MHDA- 2006/01/20 09:00 CRDT- 2005/11/04 09:00 PHST- 2005/04/26 00:00 [received] PHST- 2005/06/22 00:00 [accepted] PHST- 2005/11/04 09:00 [pubmed] PHST- 2006/01/20 09:00 [medline] PHST- 2005/11/04 09:00 [entrez] AID - JID34844 [pii] AID - 10.1086/497698 [doi] PST - ppublish SO - J Infect Dis. 2005 Dec 1;192(11):1962-5. doi: 10.1086/497698. Epub 2005 Oct 20.