中国寄生虫学与寄生虫病杂志 ›› 1994, Vol. 12 ›› Issue (2): 144-146.

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云南南部恶性疟原虫对甲氟喹、奎宁、氨酚喹、氯喹、磺胺多辛/乙胺嘧啶及咯萘啶敏感性的体外测定

杨恒林,杨品芳,杨亚明   

  1. 云南省疟疾防治研究所
  • 出版日期:1994-05-31 发布日期:2017-01-06
  • 基金资助:
    卫生部青年科学基金

IN VITRO SENSITIVITY OF PLASMODIUM FALCIPARUM TO MEFLOQUINE, QUININE, AMODIAQUINE, CHLOROQUINE, PYRONARIDINE AND SULFADOXINE/PYRIMETHAMINE IN SOUTH YUNNAN 

  • Online:1994-05-31 Published:2017-01-06

摘要: 1992年10-12月在云南南部应用体外微量法测得甲氟喹、奎宁、氨酚喹、氯喹、磺胺多辛/乙胺嘧啶(磺/乙)及咯萘啶对恶性疟原虫的ID50依次为46、480、52、150、2×104/25×102及15nmol/L;ID95分别为160、1536、292、680、24×105/3×105及60nmol/L。恶性疟原虫对甲氟喹,奎宁均敏感;对氨酚喹及氯喹的抗性率分别为100%(30/30)及96.7%(29/30);咯萘啶测定5例,其中1例显示有抗性。20例中有13例的恶性疟原虫可在最高药量磺/乙井中发育至裂殖体。提示当地恶性疟原虫对氯喹与氨酚喹有明显交叉抗性,对奎宁与甲氟喹可能有交叉抗性。

关键词: 恶性疟原虫, 体外微量法, 甲氟喹, 奎宁, 氨酚喹, 氯喹, 磺胺多辛, 乙胺嘧啶, 咯萘啶

Abstract: The sensitivity of P.falciparum to mefloquine,quinine,amodiaquine,chloroquine,pyronaridine,and sulfadoxine/pyrimethamine(MEF,QNN,AMO,CHL,PYR,S/P)was tested using in vitro microtest in south Yunnan Province in 1992.The ID 50 were 46,480,52,150,15 and 2×10 4/25×10 2 nmol/L,respectively;ID 95 were 160,1 536,292,680,60 and 24×10 5/ 3× 10 5 nmol/L,respectively.All the isolates(30) were sensitive to MEF and QNN;100%(30/30)and 96.7%(29/30) isolates were found to be resistant to AMO and CHL,the cross resistance rate was 100% to the two drugs.One of 5 isolates exhibited resistance to PYR.The results suggest that the P.falciparum was susceptible to MEF and QNN,but was resistant to AMO,CHL and S/P. CHL resistant P.falciparum showed a marked cross resistance to AMO,but not to MEF,QNN,and S/P;AMO resistant P.falciparum exhibited cross resistance to CHL,but not to MEF,QNN,and S/P.

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