Global Therapeutic Intervention on Malaria

Augusta Nkiruka Onugha, C. C. Ogwunga, Mercy Ngozi Madubuike, Okechukwu Charles Josephat
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引用次数: 1

Abstract

Malaria is a vector-borne infectious disease caused by distinct species of a single-celled parasite called Plasmodium sp. However, an infected adult female Anopheles sp. mosquito that feeds on blood is responsible for the transmission of malaria.  In the year 2020, approximately 241 million malaria cases and 627 thousand malaria deaths were recorded globally. In most tropical and subtropical regions of the world, malaria is one of the leading causes of death. Its transmission cuts across 86 countries with African continent recording approximately 95% deaths in 2020. Africa is mostly affected due to its weather conditions that support the easy spread of Plasmodium falciparum. Over time, relevant interventions have been made by researchers in the diagnosis, prevention, and treatment of malaria. Nevertheless, there are still challenges to its treatment and management globally. This review article is focused on the therapeutic intervention on malaria globally. Thus, published primary literatures reporting several relevant and new therapeutic interventions in malaria, as globally attained in the past years were collated and vital information critically reviewed. It is important to note that, the risk of contracting malaria is dependent on the region visited, length of stay, immunity, exposure and compliance with prophylaxis. Hence, to select treatment best suitable as a first-line therapy, combination antimalarial therapy, which consists of two or more antimalarial agents with different mechanisms of action was introduced and has been widely accepted and endorsed to prevent the development of drug resistance. Yet, immunization still remains the best measure for the eradication of malaria.
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全球疟疾治疗干预
疟疾是一种媒介传播的传染病,由一种叫做疟原虫的单细胞寄生虫引起。然而,受感染的成年雌性按蚊以血液为食,是传播疟疾的罪魁祸首。2020年,全球记录了约2.41亿疟疾病例和62.7万例疟疾死亡。在世界上大多数热带和亚热带地区,疟疾是主要死亡原因之一。它的传播遍及86个国家,到2020年非洲大陆的死亡人数约为95%。受影响最大的是非洲的天气条件,这种天气条件使恶性疟原虫容易传播。随着时间的推移,研究人员在疟疾的诊断、预防和治疗方面采取了相关的干预措施。然而,在全球范围内,其治疗和管理仍面临挑战。本文就全球疟疾治疗干预进行综述。因此,对过去几年全球取得的关于疟疾的几种相关和新的治疗干预措施的已发表的主要文献进行了整理,并对重要信息进行了批判性审查。必须指出的是,感染疟疾的风险取决于访问的区域、停留时间、免疫、接触和遵守预防措施。因此,为了选择最适合作为一线治疗的治疗方法,引入了联合抗疟治疗,即由两种或两种以上具有不同作用机制的抗疟药物组成,并已被广泛接受和认可,以防止耐药性的发展。然而,免疫接种仍然是消灭疟疾的最佳措施。
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