Increasing Failure of Miltefosine in the Treatment of Kala-azar in Nepal and the Potential Role of Parasite Drug Resistance, Reinfection, or Noncompliance
Author(s) -
Suman Rijal,
Bart Ostyn,
Surendra Uranw,
Keshav Rai,
Narayan Raj Bhattarai,
Thomas P. C. Dorlo,
Jos H. Beijnen,
Manu Vanaerschot,
Saskia Decuypere,
Subodh Sagar Dhakal,
Murari Lal Das,
Prahlad Karki,
Rupa Rajbhandari Singh,
Marleen Boelaert,
JeanClaude Dujardin
Publication year - 2013
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cit102
Subject(s) - medicine , miltefosine , drug resistance , visceral leishmaniasis , linezolid , leishmaniasis , clinical trial , drug , meglumine antimoniate , immunology , pharmacology , vancomycin , microbiology and biotechnology , biology , genetics , bacteria , staphylococcus aureus
Miltefosine (MIL), the only oral drug for visceral leishmaniasis (VL), is currently the first-line therapy in the VL elimination program of the Indian subcontinent. Given the paucity of anti-VL drugs and the looming threat of resistance, there is an obvious need for close monitoring of clinical efficacy of MIL.
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