Document Detail


Burden of malaria during pregnancy at the time of IPTp/SP implementation in Gabon.
MedLine Citation:
PMID:  20133992     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The new recommendations to prevent malaria in pregnant women have recently been implemented in Gabon. There is little information on the pregnancy indicators that are useful for their evaluation. A cross-sectional study for the assessment of the prevalence of peripheral, placental, and cord malaria and anemia among delivering women was performed at the largest public hospital of Gabon. Malaria prevalence was 34.4%, 53.6%, and 18.2% for maternal peripheral, placental, and cord blood respectively, with no difference between primigravidae and multigravidae. Submicroscopic infections were frequent and concerned all the positive cord samples. Maternal peripheral, late placental, and cord infections were all associated with a reduced mean birth weight in primigravidae (P = 0.02). Anemia prevalence was 53%, low birth rate was 13%, and prematurity was 25%. The use of intermittent preventive treatment with sulfadoxine-pyrimethamine (greater than or equal to one dose) combined with bed net was associated with a reduction in infection only in multigravidae and with a reduced risk of maternal anemia.
Authors:
Marielle K Bouyou-Akotet; Solange Nzenze-Afene; Edgard B Ngoungou; Eric Kendjo; Mathieu Owono-Medang; Jean-Bernard Lekana-Douki; Ghislaine Obono-Obiang; Mathieu Mounanga; Maryvonne Kombila
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  82     ISSN:  1476-1645     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-05     Completed Date:  2010-03-02     Revised Date:  2011-07-22    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  202-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Parasitology-Mycology and Tropical Medicine, Faculty of Medicine, Université des Sciences de la Santé, Libreville, Gabon. mariellebouyou@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Anemia / epidemiology
Antimalarials / administration & dosage,  therapeutic use
Cross-Sectional Studies
Drug Combinations
Female
Gabon / epidemiology
Humans
Malaria, Falciparum / epidemiology,  parasitology*
Mosquito Nets
Odds Ratio
Placenta / parasitology
Pregnancy
Pregnancy Complications, Hematologic / epidemiology
Pregnancy Complications, Parasitic / epidemiology*
Prevalence
Pyrimethamine / administration & dosage*,  therapeutic use*
Risk Factors
Sulfadoxine / administration & dosage*,  therapeutic use*
Young Adult
Chemical
Reg. No./Substance:
0/Antimalarials; 0/Drug Combinations; 2447-57-6/Sulfadoxine; 37338-39-9/sulfadoxine-pyrimethamine; 58-14-0/Pyrimethamine
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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