Treatment-based strategy for the management of post-kala-azar dermal leishmaniasis patients in the Sudan.

UNLABELLED: Post-kala-azar dermal leishmaniasis (PKDL) is a dermatosis that affects more than 50% of successfully treated visceral leishmaniasis (VL) patients in Sudan. PKDL is considered an important reservoir for the parasite and its treatment may help in the control of VL. Currently, treatment is mainly with sodium stibogluconate (SSG), an expensive and fairly toxic drug and without universally in treatment protocols used. A literature review, a consensus of a panel of experts, and unpublished data formed the basis for the development of guidelines for the treatment of PKDL in the Sudan. Six treatment modalities were evaluated. Experts were asked to justify their choices based on their experience regarding of drug safety, efficacy, availability, and cost. The consensus was defined by assigning a categorical rank (first line, second line, third line) to each option. Regarding the use of AmBisome the presence of the drug in the skin was confirmed in smears from PKDL lesions. RECOMMENDATIONS: AmBisome at 2.5 mg/kg/day/20 days or SSG at 20 mg/kg/day/40 days plus four/weekly intradermal injection of alum-precipitated autoclave L. major vaccine are suggested as first- and second-treatment options for PKDL in the Sudan, respectively. SSG at 20 mg/Kg/day/60 or more days can be used if other options are not available.

Analysis of sperm storage ability using duration of fertility in hens.

1. The objective of this study was to determine hens' sperm storage potential. 2. Efficient duration (De, number of days between insemination and the first clear egg), maximum duration (Dm1, number of days from the day after insemination to the last fertile egg before two consecutive infertile eggs) and maximum duration (Dm2, number of days from the day after insemination to the last fertile egg) of fertility, fertile egg number, egg production, laying rate and fertility during the 24 d following the latter of two inseminations (with 1 x 10(8) spermatozoa) on two consecutive days were measured in a total of 150 dual-purpose hens at 30 weeks of age. 3. De, Dm1 and Dm2 were 12.06, 14.44 and 16.17 d, respectively, and the three definitions of fertility duration (DF) differed greatly. 4. Significant correlation coefficients between De and Dm1, Dm1 and Dm2, and De and Dm2 were 0.51, 0.57 and 0.23, respectively. 5. We suggest that De and fertile egg number should be used to assess the ability of storing spermatozoa in female fowl.