Efecto de la infección submicroscópica o policlonal de Plasmodium falciparum sobre la madre y el producto de la gestación: revisión sistemática

Arango, Eliana; Maestre, Amanda; Carmona-Fonseca, Jaime

doi:10.1590/s1415-790x2010000300002

Cited by 33Malaria Research and ControlHemoglobinopathies and Related DisordersPregnancy and preeclampsia studies

Efecto de la infección submicroscópica o policlonal de Plasmodium falciparum sobre la madre y el producto de la gestación: revisión sistemática

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Arango, Eliana, Maestre, Amanda, Carmona-Fonseca, Jaime·2010·Revista Brasileira de Epidemiologia

DOI 10.1590/s1415-790x2010000300002

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Abstract

ANTECEDENTES: La malaria gestacional es causa importante de morbi-mortalidad materno-infantil y puede transcurrir con parasitemias no detectadas con microscopía; además, por la diversidad genética parasitaria, es común encontrar infecciones policlonales. OBJETIVOS: Conocer la frecuencia de infecciones submicroscópicas (ISM) y/o policlonales (IP) durante la gestación y analizar el impacto que tienen en la presentación clínica y el desarrollo de inmunidad y sus consecuencias en la madre y el producto de gestación. METODOLOGÍA: Se hizo búsqueda en Medline con los términos (MeSH) "pregnancy", "malaria", "PCR", "microscopy", "genotype", "clones". Se seleccionaron los estudios que diagnosticaron la infección por microscopía y PCR. RESULTADOS: Se incluyeron 16 estudios, todos realizados en África. El promedio ponderado (PP) de ISM en el total de mujeres fue del 36% y según fuese la infección microscópica (IM), submicroscópica o negativa, los PP de anemia materna y bajo peso al nacer (BPN) fueron 51%, 42% y 33% y 19%, 16% y 11%, respectivamente. Con referencia al grupo sin infección, los riesgos (OR) fueron: a) para anemia materna 2,12 en IM y 1,48 en ISM; b) para BPN 1,89 en IM y 1,56 en ISM. El PP de IP fue 75% y el promedio de clones por muestra fue tres. CONCLUSIONES: Las ISM y policlonales con P. falciparum son muy comunes durante la gestación, pero poco estudiadas y su impacto debe evaluarse en cada región, porque depende de la intensidad y estabilidad de la transmisión, la edad y paridad maternas, entre otras variables, que son influenciadas por las condiciones socioeconómicas y ambientales específicas.

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The epidemiological characteristics and the consequences associated with submicroscopic plasmodial infection in pregnant women have been poorly evaluated.
“However, the epidemiological characteristics and the consequences associated with submicroscopic plasmodial infection in pregnant women have been poorly evaluated [19,20].”
From Submicroscopic infection of placenta by Plasmodium produces Th1/Th2 cytokine imbalance, inflammation and hypoxia in women from north-west Colombia (2014) · cites this paper as [19]

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Efecto de la infección submicroscópica o policlonal de Plasmodium falciparum sobre la madre y el producto de la gestación Arango, E. et al. Rev Bras Epidemiol 2010; 13(3): 373-86

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Authors: Arango, E., Maestre, A., & Carmona-Fonseca, J.
Affiliations: Universidad de Antioquia (CO)
Universidad de Antioquia
ORCID: Arango, Eliana
Venue: Revista Brasileira de Epidemiologia
Publisher: FapUNIFESP (SciELO)
Published: 2010-09
Volume: 13
Issue: 3
Pages: 373-386
ISSN: 1415-790X (ISSN-L)
DOI: 10.1590/s1415-790x2010000300002
OpenAlex: W2108065604
Cited by: 33
References: 25
Citations by year: 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 2 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 6
FWCI: 3.80
Type: journal article
Language: es
Open access: diamond
doi.org
Licence: cc-by
Locations: Revista Brasileira de Epidemiologia (publishedVersion, cc-by)
PubMed (publishedVersion)
LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
Americanae (AECID Library) (submittedVersion, cc-by-nc)
Institutional Repository University of Antioquia (University of Antioquia) (submittedVersion, cc-by-nc-nd)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Health Sciences › Medicine › Genetics › Hemoglobinopathies and Related Disorders
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Keywords: Plasmodium falciparum, malaria in pregnancy, submicroscopic malaria infection, parasite genetic diversity, anemia in pregnancy, low birth weight, pregnancy outcomes, maternal immunity, transmission intensity
MeSH terms: Female, Humans, Infant, Newborn, Pregnancy, Pregnancy Outcome, Pregnancy Complications, Parasitic, Malaria, Falciparum

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Efecto de la infección submicroscópica o policlonal de Plasmodium falciparum sobre la madre y el producto de la gestación: revisión sistemática

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