A study of the effect of parasitemia on in vitro susceptibility of plasmodium falciparum isolates.

Abstract


Bla Kouakou Brice, Yavo William, Ouattara Lacinan, Basco Leonardo and Djaman Allico Joseph*

The in vitro activities of artemisinin, dihydroartemisinin (the biologically active metabolite of artemisinin derivatives), chloroquine and pyronaridine were assessed in 32 isolates of Plasmodium falciparum from Abobo in the northern of Abidjan district (Côte d’Ivoire) using a test based on the standard microtechnique recommended by the World Health Organization (WHO). The parasites densities were ranged between 8,000 and 540,000 rings/µl of blood. The geometric means 50% inhibitory concentration (GMIC50) values for chloroquine, pyronaridine and artemisinin were 145.5 nM (95% confidence interval (CI) =65-226 nM), 17.69 nM (95% CI=9.1-26.3 nM) and 5.72 nM (95% CI=2.3-9.1 nM), respectively. Dihydroartemisinin was the most potent drug against chloroquine-sensitive and chloroquine-resistant isolates with a geometric mean of 2.72 nM. There was no correlation between the parasite densities and the responses to chloroquine (r2 =0.01, p<0.5), pyronaridine (r2 =0.13, p<0.05), artemisinin (r2 =0.13, p<0.05) and dihydroartemisinin (r2 =0.07, p<0.1).

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