Journal article

Effect of Plasmodium falciparum sulfadoxine-pyrimethamine resistance on the effectiveness of intermittent preventive therapy for malaria in pregnancy in Africa: a systematic review and meta-analysis

Anna Maria van Eijk, David A Larsen, Kassoum Kayentao, Gibby Koshy, Douglas EC Slaughter, Cally Roper, Lucy C Okell, Meghna Desai, Julie Gutman, Carole Khairallah, Stephen J Rogerson, Carol Hopkins Sibley, Steven R Meshnick, Steve M Taylor, Feiko O ter Kuile

The Lancet Infectious Diseases | ELSEVIER SCI LTD | Published : 2019


BACKGROUND: Resistance of Plasmodium falciparum to sulfadoxine-pyrimethamine threatens the antimalarial effectiveness of intermittent preventive treatment during pregnancy (IPTp) in sub-Saharan Africa. We aimed to assess the associations between markers of sulfadoxine-pyrimethamine resistance in P falciparum and the effectiveness of sulfadoxine-pyrimethamine IPTp for malaria-associated outcomes. METHODS: For this systematic review and meta-analysis, we searched databases (from Jan 1, 1990 to March 1, 2018) for clinical studies (aggregated data) or surveys (individual participant data) that reported data on low birthweight (primary outcome) and malaria by sulfadoxine-pyrimethamine IPTp dose, ..

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University of Melbourne Researchers


Funding Acknowledgements

US Centers for Disease Control and Prevention, the Malaria in Pregnancy Consortium (funded through a grant from the Bill & Melinda Gates Foundation to the Liverpool School of Tropical Medicine), Worldwide Antimalarial Resistance Network, European and Developing Countries Clinical Trials Partnership.