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Card Consolidation Credit Debt       568 Faculty of Tropical Medicine COST-EFFECTIVENESS ANALYSIS OF ARTESUNATE AND QUININE + TETRACYCLINE FOR THE TREATMENT OF UNCOMPLICATED FALCIPARUM MALARIA IN CHANTHABURI, THAILAND Elsie R. Honrado¹, Wijitr Fungladda², Pirom Kamolratanakul³, Dwip Kitayaporn², Juntra Karbwang⁴, Krongthong Thimasarn⁵ and Rungwit Masngammueng^{2 1} Research Institute for Tropical Medicine, Department of Health Alabang 1770, Muntinlupa City, Metro Manita, Philippines; ²Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand; ³ Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.; ⁴ Department of Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand. ⁵ Malaria Division, Ministry of Public Health, Nonthaburi 11000, Thailand.

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Merchant Credit Guide Co                     A randomized, controlled, malaria-clinic-based field trial was carried out to compare the cost-effectiveness of a 5-day 700-mg oral artesunate and a 7-day quinine + tetracycline regimen for the treatment of uncomplicated falciparum malaria in Thailand. Cost-effectiveness was determined from the providers' perspective and based on curative effectiveness. A total of 137 patients, aged 15-60 years, attending a malaria clinic were followed for 28 days, 60 of them received quinine + tetracycline and 77 received artesunate. Cure rates were assessed on day 5 (artesunate) and day 7 (quinine + tetracycline), using the intention-to-treat approach. Cost-effectiveness and sensitivity analysis were performed by varying the day 5/day 7 curative effectiveness and cost of artesunate. The cure rate with artesunate (100%) was more cost-effective than quinine + tetracycline (77.4%) (relative risk adjusted for sex (aRR) = 1.32, 95% confidence interval (CI) = 1.12-1.55; (referent quinine + tetracycline). Artesunate was more cost-effective than quinine + tetracycline at the following costs:artesunate, £ US$ 0.36 per 50-mg tablet; quinine, US$ 0.06 per 300-mg tablet; tetracycline, US$ 0.02 per 250-mg capsule; and services per case found, £ US$ 11.49. Because of the higher cure rate and higher cost-effectiveness of the artesunate regimen compared with quinine + tetracycline, we recommend its use for the treatment of uncomplicated falciparum malaria in malaria clinics in Thailand.

Your application will be processed quickly and a decision communicated to you within a few days. Lenders use credit reference agencies to obtain information about you as they provide a detailed analysis of your financial position, in particular whether you have any bad credit such as County Court Judgements, defaults or arrears, details of any existing credit agreements or searches made by finance companies plus information relating to the electoral roll. If you are refused a personal loan or wish to make enquiries concerning your own credit file you can apply to the credit reference agencies for a copy of your record.

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If you are refused a credit card and wish to make enquiries concerning your own credit file you can apply to the credit reference agency for your record. Credit reference agencies provide a detailed analysis of your own financial position. In particular your past repayment history, any County Court Judgements or defaults registered against you, electoral roll details and previous credit searches made.

By Card Credit Debt Debt Guide (This study was supported by the UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases. Published in Bulletin of the World Health Organization 1999; 77(3) : 235-243.)

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