Review Article

Efficacy and Safety of Paromomycin for Visceral Leishmaniasis: A Systematic Review

Table 2

Efficacy of injectable paromomycin.

AuthorYearDose and durationInitial efficacy (at the end of treatment)Final efficacy (at the end of 6 months)

Hassan et al. [18]199515 mg/kg im daily for 4 wks.14/14 (100%)Not assessed; however, there were no relapses in 1-year follow-up.
Hailu et al. [16]201015 mg/kb body wt. im for 21 days67.4% (Um el Kher, Sudan = 33.3%, Kassab, Sudan = 60%, Kenya = 86.7%, Gondar, Ethiopia = 66.7%, Arba Minch, Ethiopia = 96.7%) ( value < 0.001)63.8% (Um el Kher, Sudan = 14.3%, Kassab, Sudan = 46.7%, Kenya = 80%, Gondar, Ethiopia = 75%, Arba Minch, Ethiopia = 96.6%) ( value < 0.001)
Jamil et al. [19]201511 mg/kg BW im once daily for 21 days98.3%94.2%
Jha et al. [20]199812, 16, or 20 mg/kg/day for 21 days12 mg/kg/day group = 90%, 16 mg/kg/day group = 93.3%, 20 mg/kg/day group = 90%12 mg/kg/day = 77% (n = 23), 16 mg/kg/day = 93% (n = 28), 20 mg/kg/day = 97% (n = 29)
Musa et al. [21]201020 mg/kg/day for 21 days, 15 mg/kg/day for 28 days20 mg/kg/day group = 85.7% (95% CI), 15 mg/kg/day group = 90.5% (95% CI)20 mg/kg/day group = 80% (95% CI), 15 mg/kg/day group = 81% (95% CI)
Sinha et al. [22]201111 mg/kg/day for 21 days99.6% (95% CI)94.2% (95% CI)
Sundar et al. [1]200711 mg/kg/day for 21 days98.6%94.6%
Sundar et al. [23]2009Group A = 11 mg/kg/day for 14 days (n = 217); group B = 11 mg/kg/day for 21 days (n = 112)Group A = 91.2%, group B = 96.4%Group A = 82%, group B = 92%