Document Detail


Longitudinal studies of Plasmodium falciparum malaria in pregnant women living in a rural Cameroonian village with high perennial transmission.
MedLine Citation:
PMID:  21036826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective longitudinal study of Plasmodium falciparum in pregnant women was conducted in the rural village of Ngali II, where malaria is hyperendemic and individuals receive ~0.7 infectious mosquito bites/person/day throughout the year. Pregnant women (N = 60; 19 primigravidae, 41 multigravidae) were enrolled early in pregnancy (median 14 wk) and were followed monthly, with 38 women followed through term (5.7 ± 1.1 prenatal visits and delivery). The total number of times primigravidae were slide-positive during pregnancy was higher than multigravidae (3.3 ± 1.1 versus 1.3 ± 1.3 times; P < 0.001), but no difference in the number of polymerase chain reaction-positive cases (4.6 ± 1.7 and 3.4 ± 1.7 times, P = 0.106) or total genotypes they harbored (8.9 ± 3.2 and 7.0 ± 2.9) was found. Only 7.9% women developed symptomatic infections. All primigravidae and 38% multigravidae were placental malaria-positive at delivery (P = 0.009). Genotyping showed that 77% of placental parasites were acquired ≥ 30 wks in pregnancy. These results help identify the extent of malaria-associated changes women experience during pregnancy.
Authors:
Rose F G Leke; Jude D Bioga; James Zhou; Genevieve G Fouda; Robert J I Leke; Viviane Tchinda; Rosette Megnekou; Josephine Fogako; Grace Sama; Philomina Gwanmesia; Germaine Bomback; Charles Nama; Ababacar Diouf; Naveen Bobbili; Diane Wallace Taylor
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  83     ISSN:  1476-1645     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-11-30     Revised Date:  2011-11-07    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  996-1004     Citation Subset:  AIM; IM    
Affiliation:
Faculty of Medicine and Biomedical Research, The Biotechnology Center, University of Yaoundé 1, Yaoundé, Cameroon. roseleke@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Animals
Anopheles / physiology
Cameroon / epidemiology
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Longitudinal Studies
Malaria, Falciparum / drug therapy,  epidemiology*,  prevention & control,  transmission*
Male
Middle Aged
Plasmodium falciparum / isolation & purification
Polymerase Chain Reaction
Population Dynamics
Pregnancy
Pregnancy Complications, Parasitic / drug therapy,  epidemiology*,  prevention & control
Prevalence
Rain
Seasons
Time Factors
Young Adult
Grant Support
ID/Acronym/Agency:
UO1 AI43888/AI/NIAID NIH HHS

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


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