Epidemiological characterization and sensitivity to traditional antimalarials of Plasmodium spp. isolates from Porto Velho, western Amazon, Brazil

Abstract

Objective: To describe the epidemiological profile of patients infected with malaria in Porto Velho and the susceptibility of Plasmodium spp. to different classes of drugs used in current treatment methods. Methods: 708 patients infected with malaria were treated at the Center of Tropical Medicine in Porto Velho, where they answered standard epidemiological questionnaires. Maps were built using place of residence information of 199 infected patients. In chemosensitivity assay, dihydroartemisinin, chloroquine, mefloquine and lumefantrine half maximal inhibitory concentration (IC50) was assessed by schizont maturation assay. Results: A higher prevalence of Plasmodium spp. infection among men, young people, with recurrent events of malaria and residents of urban area can be observed. The most prevalent malaria species was P. vivax followed by P. falciparum. Regarding treatment, it was observed that P. falciparum demonstrated resistance only to chloroquine (CQ) with a median of IC50 (MD of IC50) = 119.8 nM, whereas P. vivax demonstrated sensitivity to all drugs (MD IC50 < 10; 100; 30; and 150 nM for dihydroartemisinin, CQ, mefloquine and lumefantrine, respectively). Conclusion: This study contributes to the understanding of the disease by the city’s public health organs, to Plasmodium chemosensitivity literature and vigilance, and to decision making processes of city officials.