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9170

In-Vitro Antimalarial Resistance Pattern of Plasmodium Falciparum Infection Among Pregnant Women In Northern Nigeria

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Endemic medicine
Infectious diseases

Abstract

Background and study aim: Despite the global priority given to malaria control and prevention, antimalarial resistance is a major factor that encourages persistence of malaria in developing countries. This prospective study sought to determine the antimalarial resistance pattern of P. falciparum isolated from infected pregnant women attending antenatal clinics at Kaduna state, Northern Nigeria. Materials and Methods: Between 16th February and 28th April, 2015, EDTA anticoagulated blood samples were collected from seventy nine pregnant women with plasmodiasis. Antimalarial susceptibility of chloroquine, artesunate, artemether and sulfadoxin-pyrimethamine (SP) against P falciparum was done using schizont maturation assay. Multidrug resistant plasmodiasis was defined by resistance to ≥ 3 antimalarial drugs. Results: Malaria parasites from the pregnant women exhibited the highest resistance against chloroquine, 85 (Session [UserIDID].1%) followed by Artemether, 30 (8.5%) then sulfadoxin-pyrimethamine, 29 (8.2%) and least resistant to artesunate, 28 (7.9%). The occurrence rate of multidrug resistance was 40.5%. There was no significant association between occurrence of multidrug resistance and malaria parasitaemia (p=0.092). Seventy five, 94.8% of the P. falciparum infected subjects exhibit resistant to at least one antimalarial. Antimalarial resistance was highest in women with severe malaria 20 (80.0%), followed by those with moderate malaria, 15 (62.5%) and least in those with mild malaria, 4 (13.3%). There was significant association between occurrence of antimalarial resistance and densities of malaria parasitaemia (p=0.0125). Conclusion: Considering the high degree of antimalarial resistance reported from this study, there will be challenges in eradicating malaria in this environment. These findings necessitate the need for regular surveillance for resistant P. falciparum and evaluation of more effective alternative drug (s).

DOI

10.21608/aeji.2017.9170

Keywords

Antimalarial resistance, Pregnant women, Malaria control

Authors

First Name

Yahaya

Last Name

Umar

MiddleName

Abdullahi

Affiliation

Department of Biological Science, National Defense Academy, Kaduna State, Nigeria

Email

-

City

-

Orcid

-

First Name

Idris

Last Name

Nasir

MiddleName

Abdullahi

Affiliation

Department of Medical Laboratory Services, University of Abuja Teaching Hospital Gwagwalada, FCT Abuja, Nigeria

Email

eedris888@yahoo.com

City

-

Orcid

0000-0002-5511-1272

First Name

Maryam

Last Name

Aliyu

MiddleName

Muhammad

Affiliation

Department of Biological Science, National Defense Academy, Kaduna State, Nigeria

Email

-

City

-

Orcid

-

First Name

Amos

Last Name

Dangana

MiddleName

-

Affiliation

Department of Medical Laboratory Services, University of Abuja Teaching Hospital Gwagwalada, FCT Abuja, Nigeria

Email

-

City

-

Orcid

-

First Name

Anthony

Last Name

Vanstawa

MiddleName

Philip

Affiliation

Department of Biological Science, National Defense Academy, Kaduna State, Nigeria

Email

-

City

-

Orcid

-

Volume

7

Article Issue

2

Related Issue

1796

Issue Date

2017-06-01

Receive Date

2018-07-17

Publish Date

2017-06-01

Page Start

47

Page End

51

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_9170.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=9170

Order

1

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023