Monitoring antifolate resistance in intermittent preventive therapy for malaria
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Monitoring antifolate resistance in intermittent preventive therapy for malaria. / Venkatesan, Meera; Alifrangis, Michael; Roper, Cally; Plowe, Christopher V.
In: Trends in Parasitology, Vol. 29, No. 10, 10.2013, p. 497-504.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Monitoring antifolate resistance in intermittent preventive therapy for malaria
AU - Venkatesan, Meera
AU - Alifrangis, Michael
AU - Roper, Cally
AU - Plowe, Christopher V
N1 - Copyright © 2013 Elsevier Ltd. All rights reserved.
PY - 2013/10
Y1 - 2013/10
N2 - Mutations in the Plasmodium falciparum genes Pfdhfr and Pfdhps have rendered sulfadoxine-pyrimethamine (SP) ineffective for malaria treatment in most regions of the world. Yet, SP is efficacious as intermittent preventive therapy in pregnant women (IPTp) and infants (IPTi) and as seasonal malaria control in children (SMC). SP-IPTp is being widely implemented in sub-Saharan Africa. SP-IPTi is recommended where the prevalence of SP-resistant malaria parasites is low, whereas SMC is recommended for areas of intense seasonal malaria transmission. The continuing success of these interventions depends largely on the prevalence of Pfdhfr and Pfdhps resistance mutations in the target population. Here we review the relationship between resistance mutations and SP-IPT within target populations in the context of monitoring and informing implementation of this intervention.
AB - Mutations in the Plasmodium falciparum genes Pfdhfr and Pfdhps have rendered sulfadoxine-pyrimethamine (SP) ineffective for malaria treatment in most regions of the world. Yet, SP is efficacious as intermittent preventive therapy in pregnant women (IPTp) and infants (IPTi) and as seasonal malaria control in children (SMC). SP-IPTp is being widely implemented in sub-Saharan Africa. SP-IPTi is recommended where the prevalence of SP-resistant malaria parasites is low, whereas SMC is recommended for areas of intense seasonal malaria transmission. The continuing success of these interventions depends largely on the prevalence of Pfdhfr and Pfdhps resistance mutations in the target population. Here we review the relationship between resistance mutations and SP-IPT within target populations in the context of monitoring and informing implementation of this intervention.
U2 - 10.1016/j.pt.2013.07.008
DO - 10.1016/j.pt.2013.07.008
M3 - Journal article
C2 - 23948432
VL - 29
SP - 497
EP - 504
JO - Trends in Parasitology
JF - Trends in Parasitology
SN - 1471-4922
IS - 10
ER -
ID: 61967353