African Journal of Malaria and Tropical Diseases

Full Length Research Paper

Effectiveness of chloroquine for the treatment of malaria in the Delta region of Nigeria

 Patrick O Erah^*, Gertrude Arienmughare and Augustine O Okhamafe

Pharmacotherapy Group, Faculty of Pharmacy, University of Benin, Benin City, Nigeria.

*Corresponding author; E-mail: [email protected], Tel: +234802 336 0318; 805 526 3622, Fax: +234 52 602257.

Accepted 13 February 2015

Abstract

Chloroquine is still a first-line antimalarial drug in uncomplicated falciparum malaria. Increasing resistance to chloroquine has been reported in many parts of Nigeria. Clinical and parasitological responses and classes of resistance to chloroquine in falciparum malaria in five communities in Delta region, southern Nigeria were assessed. Chloroquine was administered to 218 patients with uncomplicated P. falciparum malaria. The levels of parasitemia, clinical response and classes of resistance were monitored for 7 days. High levels of therapeutic failures of chloroquine in P. falciparum malaria were recorded in the region. The frequencies of clinical and parasitological failure of chloroquine were 25.7% and 55%, respectively. These frequencies were significantly lower in children below 5 years than older people. R2 and R3 resistance occurred in 37.2% and 17.4% of the patients, respectively. The therapeutic failure of chloroquine was not gender dependent. We conclude that chloroquine is still effective in the treatment of uncomplicated P. falciparum malaria in some communities in Delta region of Nigeria. However, resistance to chloroquine is likely. These results may be used as an important indicator of the significant level of therapeutic failure of uncomplicated P. falciparum malaria to chloroquine in Nigeria.

Keywords: Chloroquine, falciparum malaria, resistance, clinical failure, parasitological failure.