Diagnostic comparison of malaria infection in peripheral blood, placental blood and placental biopsies in Cameroonian parturient women

Anchang-Kimbi, Judith Kuoh; Achidi, Eric A.; Nkegoum, Blaise; Sverremark-Ekström, Eva; Troye‐Blomberg, Marita

doi:10.1186/1475-2875-8-126

Cited by 51 publications

(78 citation statements)

References 42 publications

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“…This is close to the 90.1% reported by Anchang-Kimbi et al [24] in Mutengene and to the 69.71% found by Takem et al in Buea [25]. Our results were however higher than the 60% registered nationally in the DHS 2004 [17].…”

Section: Discussionsupporting

confidence: 87%

Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study

Halle-Ekane¹,

Egbe²,

Nzang³

et al. 2014

OJOG

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Background: Pregnant women receive antenatal care (ANC) to ensure favorable pregnancy outcomes. Despite the high ANC coverage rate registered nationally in Cameroon; rural women, women with no formal education and those in the most deprived quintile still face difficulties in having access to quality ANC. The impact of the aforementioned factors on ANC use in the Muea Health Area (MHA) is unknown. The objective of this study was to determine the proportion of women attending ANC and the factors influencing ANC attendance in the MHA. Materials and Methods: This was a community based, analytical, cross sectional survey that involved pregnant women and women with children less than two years old who gave an informed consent or assent. Data were collected using a semi structured questionnaire. EPI info Version 7 and Stat Pac for Windows version 12 © 1998-2011 (Stat Pac Inc, Bloomington, USA) were used for data analysis. Associations were considered statistically significant for p values less than 0.05. Results: Two hundred and twenty women were interviewed. The mean age was 25 years (SD 5.28). Ninety-nine percent of women had at least one ANC visit meanwhile 84.8% had at least four ANC visits. Only 27.2% of women booked for ANC in the first trimester. Rural (Maumu) residence was associated with inappropriate ANC attendance (attending less than four times) (χ 2 = 18.5; p = 0.001). Semi urban women (87%; 95% C.I. = 85.10% -89.0%) were more likely to attend four or more sessions than rural (Maumu) women (60.7%; 95% C.I. = 44.2% -77.3%) (p = 0.001). Participant's educational

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Section: Discussionsupporting

confidence: 87%

Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study

Halle-Ekane¹,

Egbe²,

Nzang³

et al. 2014

OJOG

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“…66 Malariaassociated anemia may be caused by an increase in the density of parasitemia rather than mere presence of parasite infection. 67 However, the current study did not measure parasite density in the peripheral blood to determine its association with anemia. Furthermore, parasite density measured from peripheral blood does not reflect degree of sequestration in placenta.…”

Section: Discussionmentioning

confidence: 92%

Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine against Malaria and Anemia in Pregnant Women

Wilson

Ceesay²,

Obed³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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Abstract. The effectiveness of intermittent preventive treatment during pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) against malaria and anemia is unclear because of the spread of SP-resistant Plasmodium falciparum . This study evaluates the effectiveness of IPTp-SP among pregnant women attending the antenatal clinic at Korle-Bu Teaching Hospital in Accra, Ghana. A cross-sectional study comparing malaria and anemia prevalence among pregnant women using IPTp-SP with non-IPTp-SP users was conducted during June-August 2009. A total of 363 pregnant women (202 of IPTp users and 161 non-IPTp users) were recruited. A total of 15.3% of IPTp users had malaria compared with 44.7% of non-IPTp users ( P < 0.001). A total of 58.4% of non-IPTp users were anemic compared with 22.8% of IPTp users ( P < 0.001). When we controlled for other variables, the difference in the prevalence of malaria (odds ratio = 0.18, 95% confidence interval = 0.08-0.37) and anemia (odds ratio = 0.20, 95% confidence interval = 0.12-0.34) remained significant. The recommended IPTp-SP regimen is useful in preventing malaria and anemia among pregnant women in Ghana.

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“…In high transmission areas, it is now well established that both young age and first pregnancy are risk factors for malaria. 6,[32][33][34][35] Pregnant women in the current study ranged from 14 to 38 years of age. In Ngali II, slide positivity in women in the general population declined over this age range from 43-28%, indicating that age is a factor in susceptibility to malaria ( Figure 2 ).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Studies of Plasmodium falciparum Malaria in Pregnant Women Living in a Rural Cameroonian Village with High Perennial Transmission

Leke

Bioga²,

Zhou³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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Abstract. 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.

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Diagnostic comparison of malaria infection in peripheral blood, placental blood and placental biopsies in Cameroonian parturient women

Cited by 51 publications

References 42 publications

Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study

Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study

Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine against Malaria and Anemia in Pregnant Women

Longitudinal Studies of Plasmodium falciparum Malaria in Pregnant Women Living in a Rural Cameroonian Village with High Perennial Transmission

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