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Parasite. 2019;26:16. doi: 10.1051/parasite/2019016. Epub 2019 Mar 22.

Antimalarial stewardship programs are urgently needed for malaria elimination: a perspective.

Author information

1
Groupement Hospitalier Nord, Service Pharmacie, Hospices Civils de Lyon, Lyon, F-69004, France - ICBMS CNRS 5246, SMITh, Malaria Research Unit, Campus Lyon-Tech La Doua, Université de Lyon, Villeurbanne, F-69100, France.
2
Malaria Research and Training Center, University of Sciences, Techniques and Technologies of Bamako, PO Box: 1805 Point G, Bamako, Mali.
3
ICBMS CNRS 5246, SMITh, Malaria Research Unit, Campus Lyon-Tech La Doua, Université de Lyon, Villeurbanne, F-69100, France - Groupement Hospitalier Nord, Institut de Parasitologie et Mycologie Médicale, Hospices Civils de Lyon, Lyon, F-69004, France.

Abstract

Global malaria cases have not been significantly reduced over the last three years although more than USD 3 billion was invested in malaria control and elimination. The reasons for this stagnation are highly complex and multi-factorial. It remains that almost three billion treatment courses were supplied over the period 2010-2017: 30% of them without malaria tests, and some with suboptimal doses leading to the risk of selection of resistant parasites. An antimalarial stewardship program should be implemented at the healthcare provider, physician, pharmacist, medical student, and population levels. This would significantly reinforce the impact of international guidelines and national malaria program policies and fill the gap between recommendations and actual practices.

PMID:
30901307
PMCID:
PMC6430615
DOI:
10.1051/parasite/2019016
[Indexed for MEDLINE]
Free PMC Article

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