Treatment and seroconversion in a cohort of children suffering from recent chronic Chagas infection in Yoro, Honduras

Memórias do Instituto Oswaldo Cruz

Josep M Escribಠ Elisa Ponce¹  Alberto De Dios Romero²  Pedro Albajar Viñas¹  Andrea Marchiol²  Glòria Bassets²  Pedro Pablo Palma¹  M Angeles Lima²  Concepción Zúniga¹  Carlos Ponce¹ 

[1] ,Médécins Sans Frontières-SpainBarcelona,Spain

关键词: Chagas disease;    drug therapy;    benznidazole;    indeterminate form;    Honduras;   

DOI  :  10.1590/S0074-02762009000700008

来源: SciELO

【 摘 要 】

Between 1999-2002, Médécins Sans Frontières-Spain implemented a project seeking to determine the efficacy and safety of benznidazole in the treatment of recent chronic Chagas disease in a cohort of seropositive children in the Yoro Department, Honduras. A total of 24,471 children were screened for Trypanosoma cruzi IgG antibodies through conventional enzyme-linked immunosorbent assays (ELISA) on filter paper. Recombinant ELISA (0.93% seroprevalence) showed 256 initially reactive cases, including 232 confirmed positive cases. Of these, 231 individuals were treated with benznidazole (7.5 mg/kg/day) for 60 days and were followed with a strict weekly medical control and follow-up protocol. At the end of the project, 229 patients were examined by the Honduras Secretariat of Health for post-treatment serological assessments; 88.2% seroconverted after 18 months and 93.9% seroconverted after three years. No differences were found in the seroconversion rates according to age or sex. Most of the side effects of the treatment were minor. These results support the argument that in areas where T. cruzi I is predominant and in areas affected by T. cruzi II, when vector transmission has been interrupted, Chagas disease diagnosis and treatment are feasible, necessary and ethically indisputable.

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