![](/images/graphics-bg.png)
Malaria in Pregnancy in Endemic Regions of Colombia: High Frequency of Asymptomatic and Peri-Urban Infections in Pregnant Women with Malaria
Joint Authors
Tobón-Castaño, Alberto
Vásquez, Ana-María
Zuluaga-Idárraga, Lina
Arboleda, Margarita
Usuga, Luz-Yáned
Gallego-Marin, Carolina
Lasso, Alvaro
Carbal, Luisa
Piñeros-Jiménez, Juan-Gabriel
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Malaria in pregnancy (MiP) has been associated with adverse pregnancy outcomes.
There is limited information on MiP in low transmission regions as Colombia.
This study aimed to describe the epidemiology of MiP through active surveillance of infections by microscopy and polymerase chain reaction (PCR).
Methods.
A cross-sectional study was conducted between May 2016 and January 2017 in five municipalities (Apartadó, Turbo, El Bagre, Quibdó, and Tumaco) in Colombia.
Pregnant women self-presenting at health centers for antenatal care visits, seeking medical care for suspected malaria, or delivery, were enrolled.
Diagnosis of Plasmodium spp was made in peripheral and placental blood samples by microscopy and PCR.
Results.
A total of 787 pregnant women were enrolled; plasmodial infection was diagnosed by microscopy in 4.2% (95% CI 2.8-5.6; 33/787) or by nPCR in 5.3% (95% CI 3.8-6.9; 42/787) in peripheral blood.
Most of the infections were caused by P.
falciparum (78.5%), and 46% were afebrile (asymptomatic).
Women in the first and second trimester of pregnancy were more likely to be infected (aOR=3.06, 95%CI=1.6−5.8).
To live in the urban/peri-urban area (aOR=3.04, 95%CI=1.4−6.56), to have a history of malaria during last year (aOR=5.45, 95%IC=2.16−13.75), and the infrequent bed net usage (aOR=2.8, 95%CI=1.31−5.97) were associated with the infection.
Pregnant infected women had a higher risk of anaemia (aOR=2.18, 95%CI=1.15−4.12) and fever (aOR=14.2, 95%CI=6.89−29.8).
Conclusion.
The screening for malaria during antenatal care in endemic areas of Colombia is highly recommended due to the potential adverse effects of Plasmodium spp.
infection in pregnancy and as an important activity for the surveillance of asymptomatic infections in the control of malaria.
American Psychological Association (APA)
Vásquez, Ana-María& Zuluaga-Idárraga, Lina& Arboleda, Margarita& Usuga, Luz-Yáned& Gallego-Marin, Carolina& Lasso, Alvaro…[et al.]. 2020. Malaria in Pregnancy in Endemic Regions of Colombia: High Frequency of Asymptomatic and Peri-Urban Infections in Pregnant Women with Malaria. Infectious Diseases in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1167263
Modern Language Association (MLA)
Vásquez, Ana-María…[et al.]. Malaria in Pregnancy in Endemic Regions of Colombia: High Frequency of Asymptomatic and Peri-Urban Infections in Pregnant Women with Malaria. Infectious Diseases in Obstetrics and Gynecology No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1167263
American Medical Association (AMA)
Vásquez, Ana-María& Zuluaga-Idárraga, Lina& Arboleda, Margarita& Usuga, Luz-Yáned& Gallego-Marin, Carolina& Lasso, Alvaro…[et al.]. Malaria in Pregnancy in Endemic Regions of Colombia: High Frequency of Asymptomatic and Peri-Urban Infections in Pregnant Women with Malaria. Infectious Diseases in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1167263
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167263