Title |
The end of a dogma: the safety of doxycycline use in young children for malaria treatment
|
---|---|
Published in |
Malaria Journal, April 2017
|
DOI | 10.1186/s12936-017-1797-9 |
Pubmed ID | |
Authors |
Tiphaine Gaillard, Sébastien Briolant, Marylin Madamet, Bruno Pradines |
Abstract |
Anti-malarial drug resistance to chloroquine and sulfadoxine-pyrimethamine has spread from Southeast Asia to Africa. Furthermore, the recent emergence of resistance to artemisinin-based combination therapy (ACT) in Southeast Asia highlights the need to identify new anti-malarial drugs. Doxycycline is recommended for malaria chemoprophylaxis for travel in endemic areas, or in combination with the use of quinine for malaria treatment when ACT is unavailable or when the treatment of severe malaria with artesunate fails. However, doxycycline is not used in young children under 8 years of age due to its contraindication due to the risk of yellow tooth discolouration and dental enamel hypoplasia. Doxycycline was developed after tetracycline and was labelled with the same side-effects as the earlier tetracyclines. However, recent studies report little or no effects of doxycycline on tooth staining or dental enamel hypoplasia in children under 8 years of age. In the United States, the Centers for Disease Control and Prevention have recommended the use of doxycycline for the treatment of acute and chronic Q fever and tick-borne rickettsial diseases in young children. It is time to rehabilitate doxycycline and to recommend it for malaria treatment in children under 8 years of age. |
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Country | Count | As % |
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United States | 1 | 10% |
Canada | 1 | 10% |
Spain | 1 | 10% |
United Kingdom | 1 | 10% |
Belgium | 1 | 10% |
Unknown | 5 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 40% |
Science communicators (journalists, bloggers, editors) | 2 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Mozambique | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 154 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 25 | 16% |
Student > Master | 16 | 10% |
Other | 15 | 10% |
Student > Bachelor | 15 | 10% |
Student > Postgraduate | 13 | 8% |
Other | 30 | 19% |
Unknown | 42 | 27% |
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Medicine and Dentistry | 55 | 35% |
Pharmacology, Toxicology and Pharmaceutical Science | 13 | 8% |
Biochemistry, Genetics and Molecular Biology | 10 | 6% |
Immunology and Microbiology | 6 | 4% |
Agricultural and Biological Sciences | 6 | 4% |
Other | 16 | 10% |
Unknown | 50 | 32% |