In vitro sensitivity of antimalarial drugs and correlation with clinico-parasitological response following treatment with a 3-day artesunate-mefloquine combination in patients with falciparum malaria along the Thai-Myanmar border
The parasite clearance time (PCT) in patients with ‘Late Parasitological Response’ was significantly prolonged compared with ‘Adequate Parasitological Response’ and re-infection. Declining in vitro artesunate and mefloquine sensitivity has been observed in Plasmodium falciparum isolates collected from ‘Late Parasitological Failure (LPF)’ patients compared to ‘Adequate Clinical and Parasitological Response (ACPR)’, and re-infection. The correlation between in vitro sensitivity of Plasmodium falciparum isolates to artesunate and PCT suggests that the in vitro susceptibility information is a reliable tool to predict clinico-parasitological response following a 3-day artesunate-mefloquine.