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Efficacy and safety of single-dose artesunate plus sulfalene/pyrimethamine combined with praziquantel for the treatment of children with Schistosoma mansoni or Schistosoma haematobium in western Kenya: a randomised, open-label controlled trial

Efficacy and Safety of Combination Therapy for Schistosomiasis in Kenyan Children

Introduction

Reliance on praziquantel for treating schistosomiasis may lead to drug resistance. We evaluated the efficacy and safety of combining praziquantel with artesunate plus sulfalene-pyrimethamine in Kenyan children with schistosomiasis.

Methods

426 children aged 7-15 were randomly assigned to receive praziquantel alone, artesunate plus sulfalene-pyrimethamine alone, or a combination of both. Cure and egg reduction rates were assessed 6 weeks post-treatment, and adverse events were monitored.

Results

The combination therapy showed promising results, with higher cure rates for S. haematobium-infected children compared to the individual treatments. Adverse events were mild, and no serious adverse events were reported.

Conclusions

Combining praziquantel with artesunate plus sulfalene-pyrimethamine may enhance treatment efficacy and safety outcomes for schistosomiasis in children.

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