Browsing by Subjects "*Artemisinins/therapeutic use"
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Journal Article The effect and control of malaria in pregnancy and lactating women in the Asia-Pacific region.(2023-11-01); ;Acharya, Sanjaya ;Arnold, Lachlan ;Wu, Connie ;van Eijk, Anna Maria ;Gore-Langton, Georgia R ;Ter Kuile, Feiko O ;Lufele, Elvin ;Chico, R Matthew; ;Moore, Brioni R ;Thriemer, KamalaRogerson, Stephen JHalf of all pregnancies at risk of malaria worldwide occur in the Asia-Pacific region, where Plasmodium falciparum and Plasmodium vivax co-exist. Despite substantial reductions in transmission, malaria remains an important cause of adverse health outcomes for mothers and offspring, including pre-eclampsia. Malaria transmission is heterogeneous, and infections are commonly subpatent and asymptomatic. High-grade antimalarial resistance poses a formidable challenge to malaria control in pregnancy in the region. Intermittent preventive treatment in pregnancy reduces infection risk in meso-endemic New Guinea, whereas screen-and-treat strategies will require more sensitive point-of-care tests to control malaria in pregnancy. In the first trimester, artemether-lumefantrine is approved, and safety data are accumulating for other artemisinin-based combinations. Safety of novel antimalarials to treat artemisinin-resistant P falciparum during pregnancy, and of 8-aminoquinolines during lactation, needs to be established. A more systematic approach to the prevention of malaria in pregnancy in the Asia-Pacific is required.378