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Malaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Chloroquine resistant-PF Chloroquine sensitive-PF Malaria Endemic Areas Mexico, Central America west of Panama canal, Carribean, South America, middle east Resistant PV Indonesia,Papua New Guinea, Burma
[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission ,[object Object],[object Object],[object Object],[object Object]
Life Cycle
Hepatic Stage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Erythrocytic Phase ,[object Object],[object Object],[object Object],[object Object]
Why P.F. Serious? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification of Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification…… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification…… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spor Liver RBC forms Class I P.E Hypno Asex Gam Chloroquine - - - + ( ±) Mefloquine - - - + - Quinine - - - + ( ±) Pyrimethamine+ Sulfadoxin - ± - + _ T.C - - - ± - Class II Atovaquone+Proguanil - [+] - + - Class III Primaquine - + + - +
Lesson! ,[object Object],[object Object],[object Object],[object Object]
Clinical utility ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical utility…… ,[object Object],[object Object]
Use and Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Life Cycle And Drugs NONE Pyrimethamine Proguanil Primaquine Most of the drugs Except Primaquine Chloroquine Quinine [not F.P.]
Quinine ,[object Object],[object Object],[object Object],[object Object]
Quinine contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine contd… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine contd… ,[object Object],[object Object],[object Object],[object Object]
Therapeutic uses: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine ….ADE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine ….Caution ,[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine (DI) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chloroquine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chloroquine contd…  PK:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chloroquine- Uses With other agents
Chloroquine contd… ADE:  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chloroquine contd… ADE : ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chloroquine contd… ADE : ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chloroquine contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mefloquine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mefloquine ADE contd… ,[object Object],[object Object],[object Object],[object Object]
Mefloquine Caution contd… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primaquine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primaquine contd… ,[object Object],[object Object],[object Object]
Primaquine contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
G6PD Glucose Glucose-6-Phospate 6-Phoshogluconate Hexokinase NADP NADPH GSSG GSH Defeciency GSH DEF. Hemolysis No protection For RBC’s Against Oxidative  substances Hemolysis
Proguanil(Chloroguanide) ,[object Object],[object Object],[object Object],[object Object]
Proguanil(Chloroguanide) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Atovaquone ,[object Object],[object Object],[object Object],[object Object],[object Object]
Atovaquone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pyrimethamine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Artemisinin Derivatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Artemisinin Derivatives….. ,[object Object],[object Object],[object Object],[object Object]
Artemisinin Derivatives….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Artimisinin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Artemisinin Derivatives…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Quinine Vs Artimisinin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ACT-Artemisinin based Combination Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chemoprophylaxis Type Drug Before Entering After Leaving Chloroquine Sensitive Chloroquine po 4  500mg once a week 1-2weeks 4 weeks Resistant strains Pro+Ato(Malarone) 1tab/d 1-2 days 7 days Mefloquine 250mg/week 1-2 weeks 4 weeks Doxycycline 100mg 1Tab o.d. 1 day before 4 weeks
Chemoprophylaxis: Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prophylaxis in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severe malaria Oral not  possible Any species Non-Falciparum Falciparum P.Vivax Chlo Resistant F.P. Chlo Sensitive F.P. Chlo Resistant P.Vivax Chlo Sensitive Primaquine for Radical cure
Treatment-Chloroquine sensitive: P.V . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment-Chloroquine Resistant: P.V .[Rare] ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment-Chloroquine Sensitive: FP .[Rare] ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment-Chloroquine Resistant: FP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severe malaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severe ,[object Object]
Severe and complicated F.P.Malaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment-Severe malaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment-Chloroquine resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malaria Vaccine ,[object Object],[object Object],[object Object]
Malaria Vaccine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MDR Malaria ,[object Object],[object Object],[object Object]

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Malaria 2003

  • 1.  
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  • 4. Chloroquine resistant-PF Chloroquine sensitive-PF Malaria Endemic Areas Mexico, Central America west of Panama canal, Carribean, South America, middle east Resistant PV Indonesia,Papua New Guinea, Burma
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  • 14. Spor Liver RBC forms Class I P.E Hypno Asex Gam Chloroquine - - - + ( ±) Mefloquine - - - + - Quinine - - - + ( ±) Pyrimethamine+ Sulfadoxin - ± - + _ T.C - - - ± - Class II Atovaquone+Proguanil - [+] - + - Class III Primaquine - + + - +
  • 15.
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  • 19. Life Cycle And Drugs NONE Pyrimethamine Proguanil Primaquine Most of the drugs Except Primaquine Chloroquine Quinine [not F.P.]
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  • 43. G6PD Glucose Glucose-6-Phospate 6-Phoshogluconate Hexokinase NADP NADPH GSSG GSH Defeciency GSH DEF. Hemolysis No protection For RBC’s Against Oxidative substances Hemolysis
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  • 56. Chemoprophylaxis Type Drug Before Entering After Leaving Chloroquine Sensitive Chloroquine po 4 500mg once a week 1-2weeks 4 weeks Resistant strains Pro+Ato(Malarone) 1tab/d 1-2 days 7 days Mefloquine 250mg/week 1-2 weeks 4 weeks Doxycycline 100mg 1Tab o.d. 1 day before 4 weeks
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  • 62. Severe malaria Oral not possible Any species Non-Falciparum Falciparum P.Vivax Chlo Resistant F.P. Chlo Sensitive F.P. Chlo Resistant P.Vivax Chlo Sensitive Primaquine for Radical cure
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