Hostname: page-component-848d4c4894-ttngx Total loading time: 0 Render date: 2024-06-12T18:58:44.352Z Has data issue: false hasContentIssue false

Chemoprophylactic drug trials for treatment of dracunculiasis using the Dracunculus insignis-ferret model

Published online by Cambridge University Press:  05 June 2009

Mark L. Eberhard
Affiliation:
Parasitic Diseases Branch, Division of Parasitic Diseases, Center for Infectious Diseases, and the WHO Collaborating Center for Research, Training and Control of Dracunculiasis, Centers for Disease Control, Public Health Service, U.S. Department of Health and Human Services, Atlanta, Georgia 30333, USA
Floy H. Brandt
Affiliation:
Parasitic Diseases Branch, Division of Parasitic Diseases, Center for Infectious Diseases, and the WHO Collaborating Center for Research, Training and Control of Dracunculiasis, Centers for Disease Control, Public Health Service, U.S. Department of Health and Human Services, Atlanta, Georgia 30333, USA
Ernesto Ruiz-Tiben
Affiliation:
Parasitic Diseases Branch, Division of Parasitic Diseases, Center for Infectious Diseases, and the WHO Collaborating Center for Research, Training and Control of Dracunculiasis, Centers for Disease Control, Public Health Service, U.S. Department of Health and Human Services, Atlanta, Georgia 30333, USA
Allen Hightower
Affiliation:
Parasitic Diseases Branch, Division of Parasitic Diseases, Center for Infectious Diseases, and the WHO Collaborating Center for Research, Training and Control of Dracunculiasis, Centers for Disease Control, Public Health Service, U.S. Department of Health and Human Services, Atlanta, Georgia 30333, USA

Abstract

Groups of ferrets inoculated with Dracunculus insignis were treated with various anthelminthic compounds to evaluate the potential use of drugs in controlling the human parasite D. medinensis. The three primary compounds tested were diethylcarbamazine (DEC), albendazole (ALBZ), and ivermectin (IVER); they were administered in dosages of 60 mg/kg, 10 mg/kg, and 1 mg/kg, respectively. Groups of animals received treatment either once at 60 days after inoculation, once at 60 and 90 days, or for 3 days at either 60 or 90 days postinoculation. The most marked decrease occurred in the animals that received treatment once at 60 and at 90 days after inoculation. This was observed for all three drugs tested. Increased dosages, i.e., 3 days of treatment at 60 or 90 days did not result in decreased worm burdens. In no group was there a statistically significant reduction in worm burden when compared with controls. Two other compounds, metrifonate and CGP 6140, were tested in a more limited manner, but again the worm recovery rates were comparable with those in control groups. It would appear that existing drugs commonly used to treat helminthic infections are poor candidates for use in the campaign to eradicate guinea worm disease.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Brandt, F. H. & Eberhard, M. L. (1990) Dracunculus insignis in ferrets: comparison of inoculation routes. Journal of Parasitology, 76, 9396.CrossRefGoogle ScholarPubMed
Critchton, V. F. J. & Beverley-Burton, M. (1975) Migration, growth and morphogenesis of Dracunculus insignis (Nematoda: Dracunculidae). Canadian Journal of Zoology, 53, 105113.CrossRefGoogle Scholar
Eberhard, M. L., Ruiz-Tiben, E. & Wallace, S. V. (1988) Dracunculus insignis: experimental infection in the ferret, Mustela putorius furo. Journal of Helminthology, 62, 265270.CrossRefGoogle ScholarPubMed
Hopkins, D. R. (1984) Guinea worm and the Decade. World Health, Nov. 2223.Google Scholar
Muller, R. (1976) The pathology of experimental Dracunculus infection and its relevance to chemotherapy. In: Pathophysiology of Parasitic Infections. (Editor Soulsby, E. J. L.) pp. 133147, Academic Press: London.Google Scholar
Muller, R. (1979) Guinea worm disease: epidemiology, control, and treatment. Bulletin of the World Health Organization, 57, 683689.Google ScholarPubMed
Rousset, P. (1952) Essai de prophylaxie et de traitement de la dracunculose par la notezine en Adrar. Bulletin Médicale de l'Afrique-Occidentale Française, 9, 351368.Google Scholar