Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras

Detalhes bibliográficos
Autor(a) principal: Escribà, Josep M.
Data de Publicação: 2009
Outros Autores: Ponce, Elisa, Romero, Alberto de Dios, Viñas, Pedro Albajar, Marchiol, Andrea, Bassets, Glòria, Palma, Pedro Pablo, Lima, M. Angeles, Zúniga, Concepción, Ponce, Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/30794
Resumo: Médécins Sans Frontières-Spain. Barcelona, Spain.
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spelling Escribà, Josep M.Ponce, ElisaRomero, Alberto de DiosViñas, Pedro AlbajarMarchiol, AndreaBassets, GlòriaPalma, Pedro PabloLima, M. AngelesZúniga, ConcepciónPonce, Carlos2018-12-27T13:21:01Z2018-12-27T13:21:01Z2009ESCRIBÀ, Josep M. et al. Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras. Mem Inst Oswaldo Cruz, v. 104, n.7, p.986-991, Nov. 2009.0074-0276https://www.arca.fiocruz.br/handle/icict/307941678-8060engFundação Oswaldo Cruz. Instituto Oswaldo CruzDoença de ChagasHondurasterapia medicamentosaforma indeterminadabenzonidazolChagas diseasedrug therapybenznidazoleindeterminate formHondurasTreatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Hondurasinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleMédécins Sans Frontières-Spain. Barcelona, Spain.Secretary of Health. Central Reference Laboratory for Chagas Disease and Leishmaniasis. Tegucigalpa, Honduras.Médécins Sans Frontières-Spain. Barcelona, Spain.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitarias - Medicina Tropical. Rio de Janeiro, RJ. Brasil.Médécins Sans Frontières-Spain. Barcelona, Spain.Médécins Sans Frontières-Spain. Barcelona, Spain.Médécins Sans Frontières-Spain. Barcelona, Spain.Médécins Sans Frontières-Spain. Barcelona, Spain.Secretary of Health. National Chagas Disease Prevention and Control Program. Tegucigalpa, Honduras.Secretary of Health. Central Reference Laboratory for Chagas Disease and Leishmaniasis. Tegucigalpa, Honduras.Between 1999-2002, Médécins Sans Frontières-Spain implemented a project seeking to determine the efficacy and safety of benznidazole in the treatment of recent chronic Chagas disease in a cohort of seropositive children in the Yoro Department, Honduras. A total of 24,471 children were screened for Trypanosoma cruzi IgG antibodies through conventional enzyme-linked immunosorbent assays (ELISA) on filter paper. Recombinant ELISA (0.93% seroprevalence) showed 256 initially reactive cases, including 232 confirmed positive cases. Of these, 231 individuals were treated with benznidazole (7.5 mg/kg/day) for 60 days and were followed with a strict weekly medical control and follow-up protocol. At the end of the project, 229 patients were examined by the Honduras Secretariat of Health for post-treatment serological assessments; 88.2% seroconverted after 18 months and 93.9% seroconverted after three years. No differences were found in the seroconversion rates according to age or sex. Most of the side effects of the treatment were minor. These results support the argument that in areas where T. cruzi I is predominant and in areas affected by T. cruzi II, when vector transmission has been interrupted, Chagas disease diagnosis and treatment are feasible, necessary and ethically indisputable.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/30794/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALpedroA_vinas_etal_IOC_2009.pdfpedroA_vinas_etal_IOC_2009.pdfapplication/pdf521779https://www.arca.fiocruz.br/bitstream/icict/30794/2/pedroA_vinas_etal_IOC_2009.pdfec631a3ee9ff4732e4193b21cf53275cMD52TEXTpedroA_vinas_etal_IOC_2009.pdf.txtpedroA_vinas_etal_IOC_2009.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
title Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
spellingShingle Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
Escribà, Josep M.
Doença de Chagas
Honduras
terapia medicamentosa
forma indeterminada
benzonidazol
Chagas disease
drug therapy
benznidazole
indeterminate form
Honduras
title_short Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
title_full Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
title_fullStr Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
title_full_unstemmed Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
title_sort Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras
author Escribà, Josep M.
author_facet Escribà, Josep M.
Ponce, Elisa
Romero, Alberto de Dios
Viñas, Pedro Albajar
Marchiol, Andrea
Bassets, Glòria
Palma, Pedro Pablo
Lima, M. Angeles
Zúniga, Concepción
Ponce, Carlos
author_role author
author2 Ponce, Elisa
Romero, Alberto de Dios
Viñas, Pedro Albajar
Marchiol, Andrea
Bassets, Glòria
Palma, Pedro Pablo
Lima, M. Angeles
Zúniga, Concepción
Ponce, Carlos
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Escribà, Josep M.
Ponce, Elisa
Romero, Alberto de Dios
Viñas, Pedro Albajar
Marchiol, Andrea
Bassets, Glòria
Palma, Pedro Pablo
Lima, M. Angeles
Zúniga, Concepción
Ponce, Carlos
dc.subject.other.pt_BR.fl_str_mv Doença de Chagas
Honduras
terapia medicamentosa
forma indeterminada
benzonidazol
topic Doença de Chagas
Honduras
terapia medicamentosa
forma indeterminada
benzonidazol
Chagas disease
drug therapy
benznidazole
indeterminate form
Honduras
dc.subject.en.pt_BR.fl_str_mv Chagas disease
drug therapy
benznidazole
indeterminate form
Honduras
description Médécins Sans Frontières-Spain. Barcelona, Spain.
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2018-12-27T13:21:01Z
dc.date.available.fl_str_mv 2018-12-27T13:21:01Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv ESCRIBÀ, Josep M. et al. Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras. Mem Inst Oswaldo Cruz, v. 104, n.7, p.986-991, Nov. 2009.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/30794
dc.identifier.issn.pt_BR.fl_str_mv 0074-0276
dc.identifier.eissn.none.fl_str_mv 1678-8060
identifier_str_mv ESCRIBÀ, Josep M. et al. Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras. Mem Inst Oswaldo Cruz, v. 104, n.7, p.986-991, Nov. 2009.
0074-0276
1678-8060
url https://www.arca.fiocruz.br/handle/icict/30794
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz. Instituto Oswaldo Cruz
publisher.none.fl_str_mv Fundação Oswaldo Cruz. Instituto Oswaldo Cruz
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