Clinical Study

Sustained Effectiveness of a Fixed-Dose Combination of Artesunate and Amodiaquine in 480 Patients with Uncomplicated Plasmodium falciparum Malaria in Côte d’Ivoire

Table 1

Patient characteristics at inclusion.

Period 1Period 2 value
= 288 = 286

Age (years)
 Mean ± SD5.35 ± 7.634.17 ± 4.030.483
 Median [range]3 [0.4–62.2]3.1 [0.3–36.7]
 Children under five years of age201 (69.8%)217 (75.9%)0.101

Gender0.244
 Female131 (45.5%)144 (50.3%)
 Male157 (54.5%)142 (49.7%)

Weight (kg)0.639
 Mean ± SD16.2 ± 11.714.8 ± 8.6
 Median [range]12 [6–71]12 [5–63]

Clinical signs and symptoms
 Fever1288 (100%)286 (100%)0.163
 Asthenia/weakness241 (83.7%)234 (81.8%)0.555
 Chills63 (21.9%)122 (42.7%)<0.001
 Perspiration230 (79.9%)225 (78.7%)0.725
 Headache261/77 (79.2%)39/48 (81.3%)0.783
 Pain18 (6.3%)25 (8.7%)0.257
 Dizziness25/73 (6.8%)7/48 (14.6%)0.164
 Nausea217/77 (22.1%)12/48 (25.0%)0.707
 Decreased appetite/anorexia241 (83.7%)233 (81.5%)0.485

Parasitaemia
 Positive thick blood smears1288 (100%)286 (100%)NA
 Mean parasite density (/μl)41.6 ± 45.5 (×103)71.1 ± 85.5 (×103)<0.001
 Gametocyte carriers7 (2.4%)5 (1.7%)0.568
 Mean gametocyte density (/μl)47.1 ± 70.9967.8 ± 1290.90.051

The presence of fever and a positive thick blood smear were obligate inclusion criteria. 2Certain symptoms documented from self-report, such as nausea, headache, and dizziness could not be ascertained in young infants.