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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Imported malaria in pregnant women: A retrospective pooled analysis
Travel Medicine and Infectious Disease, Volume 13, No. 4, Year 2015
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Description
Background Data on imported malaria in pregnant women are scarce. Method A retrospective, descriptive study of pooled data on imported malaria in pregnancy was done using data from 1991 to 2014 from 8 different collaborators in Europe, the United States and Japan. National malaria reference centres as well as specialists on this topic were asked to search their archives for cases of imported malaria in pregnancy. A total of 631 cases were collated, providing information on Plasmodium species, region of acquisition, nationality, country of residence, reason for travel, age, gestational age, prophylactic measures and treatment used, as well as on complications and outcomes in mother and child. Results Datasets from some sources were incomplete. The predominant Plasmodium species was P. falciparum (78.5% of cases). Among the 542 cases where information on the use of chemoprophylaxis was known, 464 (85.6%) did not use chemoprophylaxis. The main reason for travelling was "visiting friends and relatives" VFR (57.8%) and overall, most cases of malaria were imported from West Africa (57.4%). Severe anaemia was the most frequent complication in the mother. Data on offspring outcome were limited, but spontaneous abortion was a frequently reported foetal outcome (n = 14). A total of 50 different variants of malaria treatment regimens were reported. Conclusions Imported cases of malaria in pregnancy are mainly P. falciparum acquired in sub-Saharan Africa. Malaria prevention and treatment in pregnant travellers is a challenge for travel medicine due to few data on medication safety and maternal and foetal outcomes. International, collaborative efforts are needed to capture standardized data on imported malaria cases in pregnant women. © 2015 Elsevier Ltd.
Authors & Co-Authors
Chiodini, Peter L.
United Kingdom, London
London School of Hygiene & Tropical Medicine
United Kingdom, London
University College London Hospitals Nhs Foundation Trust
Delmont, Jean Pierre
France, Marseille
Ap-hm Assistance Publique - Hôpitaux de Marseille
Färnert, Anna
Sweden, Stockholm
Karolinska Institutet
Ramharter, Michael
Austria, Vienna
Medizinische Universität Wien
Germany, Tubingen
Eberhard Karls Universität Tübingen
Grobusch, Martín Peter
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Schlagenhauf, Patricia
Switzerland, Zurich
Universität Zürich
Statistics
Citations: 22
Authors: 6
Affiliations: 11
Identifiers
Doi:
10.1016/j.tmaid.2015.06.011
ISSN:
14778939
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Multi-countries
Participants Gender
Female