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

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

doi:10.1186/1475-2875-8-126

Cited by 65Malaria Research and ControlHemoglobinopathies and Related DisordersBird parasitology and diseases

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

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Anchang-Kimbi, Judith K, Achidi, Eric A, Nkegoum, Blaise, Sverremark-Ekström, Eva, Troye-Blomberg, Marita·2009·Malaria Journal

DOI 10.1186/1475-2875-8-126PMC PMC2702348

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Abstract

BACKGROUND: In sub-Saharan Africa, Plasmodium falciparum malaria in pregnancy presents an enormous diagnostic challenge. The epidemiological and clinical relevance of the different types of malaria diagnosis as well as risk factors associated with malaria infection at delivery were investigated. METHOD: In a cross-sectional survey, 306 women reporting for delivery in the Mutenegene maternity clinic, Fako division, South West province, Cameroon were screened for P. falciparum in peripheral blood, placental blood and placental tissue sections by microscopy. Information relating to the use of intermittent preventive treatment in pregnancy with sulphadoxine/pyrimethamine, history of fever attack, infant birth weights and maternal anaemia were recorded. RESULTS: Among these women, P. falciparum infection was detected in 5.6%, 25.5% and 60.5% of the cases in peripheral blood, placental blood and placental histological sections respectively. Placental histology was more sensitive (97.4%) than placental blood film (41.5%) and peripheral blood (8.0%) microscopy. In multivariate analysis, age (< or = 20 years old) (OR = 4.61, 95% CI = 1.47 - 14.70), history of fever attack (OR = 2.98, 95% CI = 1.58 - 5.73) were significant risk factors associated with microscopically detected parasitaemia. The use of > or = 2 SP doses (OR = 0.18, 95% CI = 0.06 - 0.52) was associated with a significant reduction in the prevalence of microscopic parasitaemia at delivery. Age (>20 years) (OR = 0.34, 95% CI = 0.15 - 0.75) was the only significant risk factor associated with parasitaemia diagnosed by histology only in univariate analysis. Microscopic parasitaemia (OR = 2.74, 95% CI = 1.33-5.62) was a significant risk factor for maternal anaemia at delivery, but neither infection detected by histology only, nor past infection were associated with increased risk of anaemia. CONCLUSION: Placenta histological examination was the most sensitive indicator of malaria infection at delivery. Microscopically detected parasitaemia was associated with increased risk of maternal anaemia at delivery, but not low-grade parasitaemia detected by placental histology only.

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Additional file 4 of Sub-microscopic Plasmodium falciparum parasitaemia, dihydropteroate synthase (dhps) resistance mutations to sulfadoxine–pyrimethamine, transmission intensity and risk of malaria infection in pregnancy in Mount Cameroon Region
Mbacham, H. F., Mosume, D. M., Apinjoh, T. O., Ntui, V. N., Moyeh, M. N., Kalaji, L. N., Wepnje, G. B., Ghogomu, S. M., Dionne, J. A., Tita, A. T. N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22615097
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Additional file 1 of Associations of maternal iron deficiency with malaria infection in a cohort of pregnant Papua New Guinean women
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Additional file 1 of Uptake of intermittent preventive treatment of malaria in pregnancy and risk factors for maternal anaemia and low birthweight among HIV-negative mothers in Dschang, West region of Cameroon: a cross sectional study
Kamga, S. L. S., Ali, I. M., Roméo, N. G., Ulucesme, M. C., Keptcheu, L. T. D., Keming, E. M., Tchuenkam, V.-P. K., Foyet, J. V., Aktas, M., Noubom, M., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26660960
Additional file 1 of Sub-microscopic Plasmodium falciparum parasitaemia, dihydropteroate synthase (dhps) resistance mutations to sulfadoxine–pyrimethamine, transmission intensity and risk of malaria infection in pregnancy in Mount Cameroon Region
Mbacham, H. F., Mosume, D. M., Apinjoh, T. O., Ntui, V. N., Moyeh, M. N., Kalaji, L. N., Wepnje, G. B., Ghogomu, S. M., Dionne, J. A., Tita, A. T. N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22615088
Self-citation
Additional file 3 of Sub-microscopic Plasmodium falciparum parasitaemia, dihydropteroate synthase (dhps) resistance mutations to sulfadoxine–pyrimethamine, transmission intensity and risk of malaria infection in pregnancy in Mount Cameroon Region
Mbacham, H. F., Mosume, D. M., Apinjoh, T. O., Ntui, V. N., Moyeh, M. N., Kalaji, L. N., Wepnje, G. B., Ghogomu, S. M., Dionne, J. A., Tita, A. T. N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22615094
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Authors: Anchang-Kimbi, J. K., Achidi, E. A., Nkegoum, B., Sverremark-Ekström, E., & Troye-Blomberg, M.
Affiliations: University of Buea (CM)
University Teaching Hospital of Yaounde (CM)
Corresponding author: Anchang-Kimbi, Judith K
ORCID: Anchang-Kimbi, Judith K
Nkegoum, Blaise
Venue: Malaria Journal
Publisher: Springer Science and Business Media LLC
Published: 2009-06-08
Volume: 8
Issue: 1
Pages: 126-126
ISSN: 1475-2875 (ISSN-L)
DOI: 10.1186/1475-2875-8-126
PMC: PMC2702348
OpenAlex: W2080860763
Cited by: 65
References: 46
Citations by year: 2025: 4 · 2024: 4 · 2023: 6 · 2022: 6 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 4 · 2015: 2 · 2014: 7 · 2013: 1 · 2012: 4
FWCI: 4.68
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: Malaria Journal (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Health Sciences › Medicine › Genetics › Hemoglobinopathies and Related Disorders
Life Sciences › Immunology and Microbiology › Parasitology › Bird parasitology and diseases
Keywords: Plasmodium falciparum, malaria in pregnancy, placental malaria, placental histology, intermittent preventive treatment in pregnancy, sulfadoxine-pyrimethamine, anemia in pregnancy, parturients, Cameroon, diagnostic sensitivity, birth weight
MeSH terms: Adolescent, Adult, Animals, Biopsy, Blood, Cameroon, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Microscopy, Placenta, Plasmodium falciparum, Pregnancy, Sensitivity and Specificity, Malaria, Falciparum, Young Adult

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

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