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AAC Accepts, published online ahead of print on 11 February 2008
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Antimicrob. Agents Chemother. doi:10.1128/AAC.01367-07
Copyright (c) 2008, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

Malaria Treatment with Atovaquone-Proguanil in Malaria-immune Adults; Implications for Malaria Intervention Trials and for Pre-Exposure Prophylaxis of Malaria

Mark E. Polhemus*, Shon Remich, Bernhards Ogutu, John Waitumbi, Marc Lievens, W. Ripley Ballou, and D. Gray Heppner Jr.

Walter Reed Project, United States Army Medical Research Unit, Kisumu, Kenya; Centre for Clinical Research, Kenya Medical Research Institute, Kisumu, Kenya; GlaxoSmithKline Biologicals, Rixensart, Belgium; Walter Reed Army Institute of Research, Silver Spring, Maryland, USA

* To whom correspondence should be addressed. Email: mpolhemus{at}wrp-ksm.org.


   Abstract

Eighty adults in holoendemic Kenya received presumptive treatment with atovaquone/proguanil and were followed closely. The time to first Plasmodium falciparum parasitemia was 32 days. This prolonged prophylaxis period has implications for study design when used in malaria intervention trials and cautiously suggests clinical investigation for potential pre-exposure prophylaxis of malaria.







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