Page 4 - Bulletins No. 4, 1938 sulphanilamide (protosil) in the treatment of malaria
P. 4

2

               The  sulphanilamide  used  was  Prontosil  album  (BayerV  s
           grammes  daily  were  given  in  two  doses.  The  quinine  was  given
           also  twice  daily,  as  a  solution  at  a  dosage  of  2  grammes  per  loo
           lbs.  body  weight.  Both  drugs  were  given  for  seven  davs


                     PKONTOSTL   IN  /'.  FALCIPARUM  MALARIA.
               Prontosil  was  given  to  34  cases  controlled  by  30  eases
            treated  with  quinine.  The  response  to  treatment  was  judged
            by  two  criteria,  disappearance  of  fever  and  of  asexual  parasites
            from  the  peripheral  blood.  The  responses  day  by  day  arc  shown
            in  the  following  tables :

                                     T.  \m.K  .

                                      .\  "o.  of  crises showing  parasite? onon  PUCh
                                                               PUC
                                              day  of  treatment.
                                    I    2     3    4    5          i


            Prontosil  ..          SJ-   31   30    16'   0         a
            Quinine  ...           30    3:>   25    8    0     (1   (i





                                    T,\ BUS  11.
                                     N  o.  of cases  showing  fever  on each  day
                                               of  treatment.

                                    !    2    3     4    5     B   (
                                                            f
            Prontosil...           34    20'   15    5         0    2

            Quinine  ...
                                   30    14    8     1    0    (J   0

                These  figures,  reduced  to  percentages  are  compared  dia-
            ^•ammatieally  m  graphs  1  and  2.  Full  case  details  are  given
            in  Appendix  A.
                It  will  be  seen  that  although  prontosil  abolishes  the  fever
            <<HI  parasites  m  the  majority  of  cases  it  is  not  so  efficient  as
            •ljuuiue.  I,,  five.  c a s e s  p a r a s i t e g  Wfir e  s t m  p r e B e n t  ^  tfae  blood
                                          r
            fevei  °  Tl  t h S  S e V e t v d a y  c o « se  and  two  cases  still  had
                •  ibese  reqmred  quinine  treatment  before  discharge.
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