Publication AbstractsMefloquine versus doxycycline for malaria prophylaxis in intermittent exposures of Israeli Air Force aircrew in RwandaShamiss A, Atar E, Zohar L, Davidson B, Cain YAviat Space Environ Med 1996; 67:872-3 AbstractBackground: The issue of the best chemoprophylaxis agent for aircrew to use against malaria is still not settled. Method: We studied the patterns of use of both doxycycline and mefloquine in aviators and other aircrew for 2 mo during biweekly flights from Israel to Rwanda with a few hours visits. Some 28 aviators and 15 non- aviator aircrew were treated with doxycycline and mefloquine, respectively, less than 12 h before the first flight and up to 4 wk after the last return. Results: No case of malaria occurred within or after the operational period. Compliance was better for mefloquine than for doxycycline for the full period of the operation (100% vs. 75% respectively) The rate of side effects, mostly gastrointestinal, was higher for doxycycline (39% vs 13%, respectively) and was related mainly to the frequency of administration (daily vs. weekly). Conclusion: In situations involving frequent intermittent short-term visits to areas with substantial risk of acquiring malaria, we conclude that aircrew can safely take weekly mefloquine as prophylaxis.
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