| Burden of malaria during pregnancy in areas of stable and unstable transmission in Ethiopia during a nonepidemic year. | |
MedLine Citation:
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PMID: 12751034 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Little is known about the epidemiology of malaria during pregnancy in areas of unstable (epidemic-prone) transmission (UT) in sub-Saharan Africa. In cross-sectional studies, peripheral malaria parasitemia was identified in 10.4% of women attending antenatal care clinics at 1 stable transmission (ST) site and in 1.8% of women at 3 UT sites; parasitemia was associated with anemia in both ST (relative risk [RR], 2.0; P<.001) and UT (RR, 4.4; P<.001) sites. Placental parasitemia was identified more frequently during deliveries at ST sites (12/185; 6.5%) than at UT sites (21/833; 2.5%; P=.006). Placental parasitemia was associated with low birth weight at the ST site (RR, 3.2; P=.01) and prematurity at ST (RR, 2.7; P=.04) and UT (RR, 3.9; P=.01) sites and with a 7-fold increased risk of stillbirths at UT sites. The effectiveness and efficiency in Ethiopia of standard preventive strategies used in high-transmission regions (such as intermittent preventive treatment) may require further evaluation; approaches such as insecticide-treated bednets and epidemic preparedness may be needed to prevent adverse pregnancy outcomes. |
Authors:
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Robert D Newman; Afework Hailemariam; Daddi Jimma; Abera Degifie; Daniel Kebede; Aafje E C Rietveld; Bernard L Nahlen; John W Barnwell; Richard W Steketee; Monica E Parise |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. Date: 2003-05-15 |
Journal Detail:
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Title: The Journal of infectious diseases Volume: 187 ISSN: 0022-1899 ISO Abbreviation: J. Infect. Dis. Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-05-16 Completed Date: 2003-06-25 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0413675 Medline TA: J Infect Dis Country: United States |
Other Details:
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Languages: eng Pagination: 1765-72 Citation Subset: AIM; IM |
Affiliation:
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Malaria Epidemiology, National Center for Infectious Diseases, and Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. ren5@cdc.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anemia / complications, drug therapy Animals Antimalarials / therapeutic use Ethiopia / epidemiology Female Fetal Death / complications Humans Infant, Low Birth Weight Infant, Newborn Malaria, Falciparum / complications*, drug therapy, epidemiology, transmission* Malaria, Vivax / complications*, drug therapy, epidemiology, transmission* Male Obstetric Labor, Premature / complications Parasitemia / complications Placenta / parasitology Plasmodium falciparum / isolation & purification Plasmodium vivax / isolation & purification Pregnancy Pregnancy Complications, Parasitic / drug therapy, epidemiology*, parasitology Pregnancy Outcome |
| Grant Support | |
ID/Acronym/Agency:
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U50/CCU012445/CC/CDC HHS |
| Chemical | |
Reg. No./Substance:
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0/Antimalarials |
| Comments/Corrections | |
Comment In:
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J Infect Dis. 2003 Oct 15;188(8):1259-61; author reply 1561-2
[PMID:
14551900
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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