Intermittent Treatment to Prevent Pregnancy Malaria Does Not Confer Benefit in an Area of Widespread Drug Resistance

Simple item page
dc.contributor.authorMutabingwa, Theonest K.
dc.date.accessioned2020-02-25T06:22:30Z
dc.date.available2020-02-25T06:22:30Z
dc.date.issued2011
dc.description.abstractBackground. Millions of African women receive sulfadoxine-pyrimethamine (SP) as intermittent preventive treatment during pregnancy (IPTp) to avoid poor outcomes that result from malaria. However, parasites resistant to SP are widespread in parts of Africa, and IPTp may perversely exacerbate placental infections that contain SP-resistant parasites. Methods. The study used a cross-sectional design. We determined IPTp use in a delivery cohort of 880 pregnant women in Muheza, Tanzania, by report and by plasma sulfa measurements, and we examined its effects on maternal and fetal delivery outcomes. Results. In the overall cohort, IPTp was not associated with decreased odds of placental malaria or with increased mean maternal hemoglobin or mean birth weight. Unexpectedly, IPTp was associated with decreased cord hemoglobin level and increased risk of fetal anemia, which may be related to in utero SP exposure. Conclusions. IPTp does not improve overall pregnancy outcomes in Muheza, Tanzania, where SP-resistant parasites predominate and may increase the odds of fetal anemia. As parasite resistance increases in a community, the overall effect of IPTp may transition from net benefit to neutral or net harm.en_US
dc.identifier.citationHarrington, W.E., Mutabingwa, T.K., Kabyemela, E., Fried, M. and Duffy, P.E., 2011. Intermittent treatment to prevent pregnancy malaria does not confer benefit in an area of widespread drug resistance. Clinical Infectious Diseases, 53(3), pp.224-230.en_US
dc.identifier.otherhttps://doi.org/10.1093/cid/cir376
dc.identifier.urihttp://hdl.handle.net/123456789/257
dc.language.isoenen_US
dc.publisherClinical Infectious Diseasesen_US
dc.subjectPregnancyen_US
dc.subjectDrugen_US
dc.subjectResistance hemoglobinen_US
dc.titleIntermittent Treatment to Prevent Pregnancy Malaria Does Not Confer Benefit in an Area of Widespread Drug Resistanceen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Intermittent Treatment to Prevent Pregnancy.pdf
Size:
200.44 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Journals

Total Collections: 1