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Table 7 Relapse characteristics

From: A systematic review of the clinical presentation, treatment and relapse characteristics of human Plasmodium ovale malaria

Authors

Diagnostic method primary infection

Treatment primary infection

Dosage primary infection

PQ therapy primary infection?

Time between primary infection and 1st relapse (weeks)

Diagnostic method 1st relapse

Treatment 1st relapse

PQ therapy 1st relapse?

Time between 1st and 2nd relapse (weeks)

Diagnostic method 2nd relapse

Treatment 2nd relapse

PQ therapy 2nd relapse?

Time between 2nd and 3rd relapse (weeks)

Treatment 3rd relapse

Bottieau [28]

MIC

Quinine

1.5 g/day for 5 days

Y, “standard regimen” (presumably 15 mg/day for 14 days)

7

MIC

Chloroquine 1.5 g over 3 days

Y, 7 mg/kg over 3 weeks

NA

NA

NA

NA

NA

NA

Doxycycline

100 mg/day for 7 days

Quinine–doxycycline

Y, “standard regimen”

2

Chloroquine, dosage unknown

Y, 10 mg/kg over 4 weeks

NA

NA

NA

NA

NA

NA

Chloroquine

N

60

Atovaquone–proguanil, dosage unknown

Y, 5 mg/kg over 6 weeks

78

MIC

Atovaquone–proguanil, then chloroquine

Y, 8 mg/kg over 3 weeks

NA

NA

Collins et al. [29]

MIC

Chloroquine

1.5 g over 3 days

N

22

MIC

Chloroquine, dosage unknown

N

17

MIC

Chloroquine, dosage unknown

NA

NA

MIC

Chloroquine

1.5 g over 3 days

N

10

MIC

NA

NA

NA

NA

NA

NA

MIC

Chloroquine

1.5 g over 3 days

N

15

MIC

NA

NA

NA

NA

NA

NA

MIC

Chloroquine

1.5 g over 3 days

N

24

MIC

NA

NA

NA

NA

NA

NA

MIC

Chloroquine

1.5 g over 3 days

N

20

MIC

NA

NA

NA

NA

NA

NA

Nathwani et al. [30]

MIC

Chloroquine

15 mg/day for 14 days

Y, 15 mg/day for 14 days

17

MIC

Chloroquine 1.5 g over 3 days

Y, 30 mg/day for 21 days

NA

NA

NA

NA

NA

NA

Chin et al. [31]

MIC

Quinine sulphate

650 mg 8-hourly for 5 days

N

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

5

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

Quinine sulphate 650 mg 8-hourly for 5 days

MIC

Quinine sulphate

650 mg 8-hourly for 5 days

N

2

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

20

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

NA

NA

MIC

Quinine sulphate

650 mg 8-hourly for 5 days

N

36

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

NA

NA

NA

NA

NA

NA

MIC

Quinine sulphate

650 mg 8-hourly for 5 days

N

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

MIC

Quinine sulphate 650 mg 8-hourly for 5 days

N

NA

NA

MIC

Chloroquine

600 mg single dose

N

MIC

Chloroquine 600 mg single dose

N

MIC

Chloroquine 600 mg single dose

Y, 15 mg/day for 14 days

NA

NA

Garnham et al. [32]

MIC

Chloroquine

N

15

MIC

No treatment

N

10

MIC

No treatment

N

NA

NA

MIC

Chloroquine

N

14

MIC

No treatment

N

14

MIC

No treatment

N

NA

NA

Jeffery [33]

MIC

Chloroquine

N

21

MIC

Chloroquine, dosage unknown

N

22a

MIC

NA

NA

MIC

chloroquine

N

34

MIC

chloroquine, dosage unknown

Y, dosage unknown

NAa

NA

NA

NA

NA

NA

  1. MIC microscopy, Y yes, N no, NA not applicable, – not mentioned in the original publication
  2. aThe patient who did not receive primaquine treatment for his 1st relapse developed a second one, however it was not clear from the article, which one of the two patients developed the described second relapse