Cited by 205Malaria Research and ControlGlobal Maternal and Child HealthHIV/AIDS Research and Interventions

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REDUCTION OF MALARIA DURING PREGNANCY BY PERMETHRIN-TREATED BED NETS IN AN AREA OF INTENSE PERENNIAL MALARIA TRANSMISSION IN WESTERN KENYA

TER KUILE, FEIKO O., TERLOUW, DIANNE J., PHILLIPS-HOWARD, PENELOPE A., HAWLEY, WILLIAM A., FRIEDMAN, JENNIFER F., KARIUKI, SIMON K., SHI, YA PING, KOLCZAK, MARGARETTE S., LAL, ALTAF A., VULULE, JOHN M., NAHLEN, BERNARD L.·2003·The American Journal of Tropical Medicine and Hygiene

DOI 10.4269/ajtmh.2003.68.50

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Abstract

The impact of insecticide (permethrin)-treated bed nets (ITNs) on malaria in pregnancy was studied in a rural area in western Kenya with intense perennial malaria transmission. All households in 40 of 79 villages were randomized to receive ITNs by January 1997. The ITNs were distributed in control villages two years later. Complete data on birth outcome were available on 2,754 (89.6%) of 3,072 deliveries. Women (n = 780) were followed monthly throughout pregnancy in 19 of 79 villages. Among gravidae 1–4, ITNs were associated with reductions of 38% (95% confidence interval [CI] = 17–54%) in the incidence of malaria parasitemia and 47% (95% CI = 6–71%) in the incidence of severe malarial anemia (hemoglobin level < 8 g/dL with parasitemia) during pregnancy. At the time of delivery, mean hemoglobin levels were 0.6 g/dL (95% CI = 0.01–1.2 g/dL) higher, the prevalence of placental or maternal malaria was reduced by 35% (95% CI = 20–47%), and the prevalence of low birth weight was reduced by 28% (95% CI = 2–47%) in gravidae 1–4 from ITN villages. No beneficial impact was observed in gravidae five or higher. In areas of intense perennial malaria transmission, permethrin-treated bed nets reduce the adverse effect of malaria during the first four pregnancies.

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Authors: TER KUILE, F. O., TERLOUW, D. J., PHILLIPS-HOWARD, P. A., HAWLEY, W. A., FRIEDMAN, J. F., KARIUKI, S. K., SHI, Y. P., KOLCZAK, M. S., LAL, A. A., VULULE, J. M., & NAHLEN, B. L.
Affiliations: Centers for Disease Control and Prevention (US)
Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Centre for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya; Department of Infectious Diseases, Tropical Medicine & AIDS, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Roll Back Malaria, World Health Organization, Geneva, Switzerland
ORCID: TER KUILE, FEIKO O.
TERLOUW, DIANNE J.
FRIEDMAN, JENNIFER F.
KARIUKI, SIMON K.
SHI, YA PING
LAL, ALTAF A.
VULULE, JOHN M.
Venue: The American Journal of Tropical Medicine and Hygiene
Publisher: American Society of Tropical Medicine and Hygiene
Published: 2003-04
Volume: 68
Issue: 4_suppl
Pages: 50-60
ISSN: 0002-9637 (ISSN-L)
DOI: 10.4269/ajtmh.2003.68.50
OpenAlex: W2128294336
Cited by: 204
References: 50
Citations by year: 2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 9 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 8 · 2015: 9 · 2014: 11 · 2013: 7 · 2012: 9
FWCI: 14.58
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Tropical Medicine and Hygiene (publishedVersion)
PubMed (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Pure Amsterdam UMC (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: malaria in pregnancy, insecticide-treated nets, severe malarial anemia, placental malaria, maternal malaria, low birth weight, malaria parasitaemia, hemoglobin levels, Western Kenya
MeSH terms: Adult, Antimalarials, Bedding and Linens, Female, Humans, Infant, Newborn, Insecticides, Kenya, Pregnancy, Cohort Studies, Pregnancy Complications, Parasitic, Multivariate Analysis, Malaria, Falciparum, Infectious Disease Transmission, Vertical, Parasitemia, Permethrin

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REDUCTION OF MALARIA DURING PREGNANCY BY PERMETHRIN-TREATED BED NETS IN AN AREA OF INTENSE PERENNIAL MALARIA TRANSMISSION IN WESTERN KENYA

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