Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/53146 |
Resumo: | Department of Pathobiology and Population Sciences. Royal Veterinary College. Hatfield, United Kingdom/London Centre for Neglected Tropical Disease Research. Imperial College London. London, United Kingdom. |
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Walker, MartinCools, PietAlbonico, MarcoAme, Shaali MAyana, MioDana, DanielKeiser, JenniferMatoso, Leonardo FerreiraMontresor, AntonioMekonnen, ZelekeOliveira, Rodrigo Corrêa dePinto, Simone AparecidaSayasone, SomphouVercruysse, JozefVlaminck, JohnnyLevecke, Bruno2022-06-09T13:49:59Z2022-06-09T13:49:59Z2021WALKER, Martin et al. Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure. Trial PLoS Negl Trop Dis., v. 15, n. 10, e0009888, 2021. doi: 10.1371/journal.pntd.0009888.1935-2735https://www.arca.fiocruz.br/handle/icict/5314610.1371/journal.pntd.0009888engPublic Library of ScienceAscaris lumbricoidesTrichuris trichiuraparasitas intestinaisIndividual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressureinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleDepartment of Pathobiology and Population Sciences. Royal Veterinary College. Hatfield, United Kingdom/London Centre for Neglected Tropical Disease Research. Imperial College London. London, United Kingdom.Department of Virology. Parasitology and Immunology. Ghent University. Merelbeke, Belgium.Center for Tropical Diseases. Sacro Cuore Don Calabria Hospital. Negrar, Italy/ Department of Life Sciences and Systems Biology. University of Turin. Turin, Italy.Laboratory Division. Public Health Laboratory-Ivo de Carneri. Chake Chake, United Republic of Tanzania.Jimma University Institute of Health. Jimma University. Jimma, Ethiopia.Jimma University Institute of Health. Jimma University. Jimma, Ethiopia.Department of Medical Parasitology and Infection Biology. Swiss Tropical and Public Health Institute. Basel, Switzerland/University of Basel. Basel, Switzerland.Laboratory of Molecular and Cellular Immunology. Institute René Rachou. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Nursing school. Federal University of Minas Gerais. Belo Horiozonte, MG, Brazil.Department of Control of Neglected Tropical Diseases. World Health Organization. Geneva, Switzerland.Jimma University Institute of Health. Jimma University. Jimma, Ethiopia.Laboratory of Molecular and Cellular Immunology. Institute René Rachou. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Laboratory of Molecular and Cellular Immunology. Institute René Rachou. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Lao Tropical and Public Health Institute. Ministry of Health. Vientiane, Lao People's Democratic Republic.Department of Virology. Parasitology and Immunology. Ghent University. Merelbeke, Belgium.Department of Virology. Parasitology and Immunology. Ghent University. Merelbeke, Belgium.Department of Virology. Parasitology and Immunology. Ghent University. Merelbeke, Belgium.Background: Albendazole (ALB) is administered annually to millions of children through global deworming programs targeting soil-transmitted helminths (STHs: Ascaris lumbricoides, Trichuris trichiura and hookworms, Necator americanus and Ancylostoma duodenale). However, due to the lack of large individual patient datasets collected using standardized protocols and the application of population-based statistical methods, little is known about factors that may affect individual responses to treatment. Methodology/principal findings: We re-analyzed 645 individual patient data from three standardized clinical trials designed to assess the efficacy of a single 400 mg oral dose of ALB against STHs in schoolchildren from different study sites, each with varying history of drug pressure based on duration of mass drug administration programs: Ethiopia, low; Lao People's Democratic Republic (PDR), moderate; Pemba Island (Tanzania), high. Using a Bayesian statistical modelling approach to estimate individual responses (individual egg reduction rates, ERRi), we found that efficacy was lower in Pemba Island, particularly for T. trichiura. For this STH, the proportion of participants with a satisfactory response (ERRi ≥50%), was 65% in Ethiopia, 61% in Lao PDR but only 29% in Pemba Island. There was a significant correlation between ERRi and infection intensity prior to drug administration (ERRi decreasing as a function of increasing infection intensity). Individual age and sex also affected the drug response, but these were of negligible clinical significance and not consistent across STHs and study sites. Conclusions/significance: We found decreased efficacy of ALB against all the STHs analyzed in Pemba Island (Tanzania), an area with high drug pressure. This does not indicate causality, as this association may also be partially explained by differences in infection intensity prior to drug administration. Notwithstanding, our results indicate that without alternative treatment regimens, program targets will not be achievable on Pemba Island because of inadequate efficacy of ALB.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/53146/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALIndividual responses to a single oral dose of albendazole indicate reduced.pdfIndividual responses to a single oral dose of albendazole indicate reduced.pdfapplication/pdf676576https://www.arca.fiocruz.br/bitstream/icict/53146/2/Individual%20responses%20to%20a%20single%20oral%20dose%20of%20albendazole%20indicate%20reduced.pdf2867230c7731b811ebd18acb842e9a84MD52icict/531462022-06-09 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dc.title.pt_BR.fl_str_mv |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
title |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
spellingShingle |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure Walker, Martin Ascaris lumbricoides Trichuris trichiura parasitas intestinais |
title_short |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
title_full |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
title_fullStr |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
title_full_unstemmed |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
title_sort |
Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure |
author |
Walker, Martin |
author_facet |
Walker, Martin Cools, Piet Albonico, Marco Ame, Shaali M Ayana, Mio Dana, Daniel Keiser, Jennifer Matoso, Leonardo Ferreira Montresor, Antonio Mekonnen, Zeleke Oliveira, Rodrigo Corrêa de Pinto, Simone Aparecida Sayasone, Somphou Vercruysse, Jozef Vlaminck, Johnny Levecke, Bruno |
author_role |
author |
author2 |
Cools, Piet Albonico, Marco Ame, Shaali M Ayana, Mio Dana, Daniel Keiser, Jennifer Matoso, Leonardo Ferreira Montresor, Antonio Mekonnen, Zeleke Oliveira, Rodrigo Corrêa de Pinto, Simone Aparecida Sayasone, Somphou Vercruysse, Jozef Vlaminck, Johnny Levecke, Bruno |
author2_role |
author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Walker, Martin Cools, Piet Albonico, Marco Ame, Shaali M Ayana, Mio Dana, Daniel Keiser, Jennifer Matoso, Leonardo Ferreira Montresor, Antonio Mekonnen, Zeleke Oliveira, Rodrigo Corrêa de Pinto, Simone Aparecida Sayasone, Somphou Vercruysse, Jozef Vlaminck, Johnny Levecke, Bruno |
dc.subject.other.pt_BR.fl_str_mv |
Ascaris lumbricoides Trichuris trichiura parasitas intestinais |
topic |
Ascaris lumbricoides Trichuris trichiura parasitas intestinais |
description |
Department of Pathobiology and Population Sciences. Royal Veterinary College. Hatfield, United Kingdom/London Centre for Neglected Tropical Disease Research. Imperial College London. London, United Kingdom. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2022-06-09T13:49:59Z |
dc.date.available.fl_str_mv |
2022-06-09T13:49:59Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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dc.identifier.citation.fl_str_mv |
WALKER, Martin et al. Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure. Trial PLoS Negl Trop Dis., v. 15, n. 10, e0009888, 2021. doi: 10.1371/journal.pntd.0009888. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/53146 |
dc.identifier.issn.pt_BR.fl_str_mv |
1935-2735 |
dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pntd.0009888 |
identifier_str_mv |
WALKER, Martin et al. Individual responses to a single oral dose of albendazole indicate reduced efficacy against soil-transmitted helminths in an area with high drug pressure. Trial PLoS Negl Trop Dis., v. 15, n. 10, e0009888, 2021. doi: 10.1371/journal.pntd.0009888. 1935-2735 10.1371/journal.pntd.0009888 |
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https://www.arca.fiocruz.br/handle/icict/53146 |
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Public Library of Science |
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