Update on pathogenesis, management, and control of Plasmodium vivax

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved..

PURPOSE OF REVIEW: This is a review of Plasmodium vivax epidemiology, pathogenesis, disease presentation, treatment and innovations in control and elimination. Here, we examine the recent literature and summarize new advances and ongoing challenges in the management of P. vivax.

RECENT FINDINGS: P. vivax has a complex life cycle in the human host which impacts disease severity and treatment regimens. There is increasing data for the presence of cryptic reservoirs in the spleen and bone marrow which may contribute to chronic vivax infections and possibly disease severity. Methods to map the geospatial epidemiology of P. vivax chloroquine resistance are advancing, and they will inform local treatment guidelines. P. vivax treatment requires an 8-aminoquinoline to eradicate the dormant liver stage. Evidence suggests that higher doses of 8-aminoquinolines may be needed for radical cure of tropical frequent-relapsing strains.

SUMMARY: P. vivax is a significant global health problem. There have been recent developments in understanding the complexity of P. vivax biology and optimization of antimalarial therapy. Studies toward the development of best practices for P. vivax control and elimination programs are ongoing.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Current opinion in infectious diseases - 35(2022), 5 vom: 01. Okt., Seite 404-409

Sprache:

Englisch

Beteiligte Personen:

Khan, Nazia [VerfasserIn]
Daily, Johanna P [VerfasserIn]

Links:

Volltext

Themen:

886U3H6UFF
Antimalarials
Chloroquine
Journal Article
Research Support, N.I.H., Extramural
Review

Anmerkungen:

Date Completed 14.09.2022

Date Revised 02.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1097/QCO.0000000000000867

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM34583528X