Meta-analysis of the prevalence of malaria associated with pregnancy in Colombia 2000-2020
Knowledge about malaria associated with pregnancy is scarce in Latin America, and in Colombia, little is known about the magnitude of this infection. A systematic review was conducted to determine the prevalence of malaria associated with pregnancy (MAP) and each of its three forms: gestational (GM)...
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| description | Knowledge about malaria associated with pregnancy is scarce in Latin America, and in Colombia, little is known about the magnitude of this infection. A systematic review was conducted to determine the prevalence of malaria associated with pregnancy (MAP) and each of its three forms: gestational (GM), placental (PM), and congenital (CM) tested using thick blood smear (TBS) and PCR. Also to compare the proportion of cases due to Plasmodium falciparum and Plasmodium vivax in Colombia from the year 2000-2020. We searched in Pubmed, Science Direct, EMBASE, EMCare, Cochrane Library, Scielo, Lilacs, Google Scholar, libraries, and repositories of Colombian universities, to obtain data on prevalence of GM, PM and CM with their respective testing method. We performed a meta-analysis with a random-effects model to obtain pooled prevalence of MAP and its three forms categorized by testing methods (TBS and PCR). We used data from 14 studies (out of 258 screened) contributing 7932, 2506 women for GM and PM respectively, also data on 1143 umbilical cord blood samples, and 899 peripheral blood of neonates. We found prevalence by TBS as, MAP 4.5% (95%CI = 2.9-6.9), GM 5.8% (95%CI = 3.8-8.7), PM 3.4% (95%CI = 1.7-6.7) and CM 1.3% (95%CI = 0.6-3.0). With PCR the prevalence was, MAP 14.4% (95%CI = 7.6-25.5), GM 16.7% (95%CI = 9.0-28.8), PM 11.0% (95%CI = 4.1-26.3) and CM 16.2% (95%CI = 8.2-29.5). The prevalence of submicroscopic infection was 8.5% (95%CI = 3.4-19.7) in GM, 10.1% (95%CI = 3.5-25.5) in PM and 22.0% (95%CI = 13.2-34.3) in CM. Infections by P. vivax was dominant over P. falciparum when tested with TBS, the PCR test gave similar proportions of P. falciparum and P. vivax. This meta-analysis has demonstrated high prevalence of MAP in Colombia, and highlights the urgent need to increase attention of researchers, research funding institutions, government agencies, and health authorities to study and intervene MAP, that has currently been under investigated. |
| doi_str_mv | 10.1371/journal.pone.0255028 |
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A systematic review was conducted to determine the prevalence of malaria associated with pregnancy (MAP) and each of its three forms: gestational (GM), placental (PM), and congenital (CM) tested using thick blood smear (TBS) and PCR. Also to compare the proportion of cases due to Plasmodium falciparum and Plasmodium vivax in Colombia from the year 2000-2020. We searched in Pubmed, Science Direct, EMBASE, EMCare, Cochrane Library, Scielo, Lilacs, Google Scholar, libraries, and repositories of Colombian universities, to obtain data on prevalence of GM, PM and CM with their respective testing method. We performed a meta-analysis with a random-effects model to obtain pooled prevalence of MAP and its three forms categorized by testing methods (TBS and PCR). We used data from 14 studies (out of 258 screened) contributing 7932, 2506 women for GM and PM respectively, also data on 1143 umbilical cord blood samples, and 899 peripheral blood of neonates. We found prevalence by TBS as, MAP 4.5% (95%CI = 2.9-6.9), GM 5.8% (95%CI = 3.8-8.7), PM 3.4% (95%CI = 1.7-6.7) and CM 1.3% (95%CI = 0.6-3.0). With PCR the prevalence was, MAP 14.4% (95%CI = 7.6-25.5), GM 16.7% (95%CI = 9.0-28.8), PM 11.0% (95%CI = 4.1-26.3) and CM 16.2% (95%CI = 8.2-29.5). The prevalence of submicroscopic infection was 8.5% (95%CI = 3.4-19.7) in GM, 10.1% (95%CI = 3.5-25.5) in PM and 22.0% (95%CI = 13.2-34.3) in CM. Infections by P. vivax was dominant over P. falciparum when tested with TBS, the PCR test gave similar proportions of P. falciparum and P. vivax. This meta-analysis has demonstrated high prevalence of MAP in Colombia, and highlights the urgent need to increase attention of researchers, research funding institutions, government agencies, and health authorities to study and intervene MAP, that has currently been under investigated.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0255028</identifier><identifier>PMID: 34329329</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Anemia ; Biology and Life Sciences ; Birth weight ; Blood ; Colombia ; Congenital diseases ; Cord blood ; Diagnosis ; Evaluation ; Female ; Government agencies ; Health aspects ; Humans ; Infections ; Institutional repositories ; Malaria ; Malaria, Falciparum - blood ; Malaria, Falciparum - diagnosis ; Malaria, Falciparum - epidemiology ; Malaria, Falciparum - pathology ; Malaria, Vivax - blood ; Malaria, Vivax - diagnosis ; Malaria, Vivax - epidemiology ; Malaria, Vivax - pathology ; Medicine and Health Sciences ; Meta-analysis ; Neonates ; People and places ; Peripheral blood ; Physical Sciences ; Placenta ; Plasmodium falciparum ; Plasmodium falciparum - metabolism ; Plasmodium vivax - metabolism ; Pregnancy ; Pregnancy Complications, Parasitic - blood ; Pregnancy Complications, Parasitic - diagnosis ; Pregnancy Complications, Parasitic - epidemiology ; Pregnancy Complications, Parasitic - pathology ; Pregnant women ; Prevalence studies (Epidemiology) ; Research and Analysis Methods ; Search engines ; Systematic review ; Umbilical cord ; Vector-borne diseases ; Womens health</subject><ispartof>PloS one, 2021-07, Vol.16 (7), p.e0255028-e0255028</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Cardona-Arias, Carmona-Fonseca. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Cardona-Arias, Carmona-Fonseca 2021 Cardona-Arias, Carmona-Fonseca</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-8f98ae2c811d84aec11adae19281657e908692dd769e4bb852450d1be05a27b03</citedby><cites>FETCH-LOGICAL-c692t-8f98ae2c811d84aec11adae19281657e908692dd769e4bb852450d1be05a27b03</cites><orcidid>0000-0002-7101-929X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323879/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323879/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34329329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Carvalho, Luzia Helena</contributor><creatorcontrib>Cardona-Arias, Jaiberth Antonio</creatorcontrib><creatorcontrib>Carmona-Fonseca, Jaime</creatorcontrib><title>Meta-analysis of the prevalence of malaria associated with pregnancy in Colombia 2000-2020</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Knowledge about malaria associated with pregnancy is scarce in Latin America, and in Colombia, little is known about the magnitude of this infection. A systematic review was conducted to determine the prevalence of malaria associated with pregnancy (MAP) and each of its three forms: gestational (GM), placental (PM), and congenital (CM) tested using thick blood smear (TBS) and PCR. Also to compare the proportion of cases due to Plasmodium falciparum and Plasmodium vivax in Colombia from the year 2000-2020. We searched in Pubmed, Science Direct, EMBASE, EMCare, Cochrane Library, Scielo, Lilacs, Google Scholar, libraries, and repositories of Colombian universities, to obtain data on prevalence of GM, PM and CM with their respective testing method. We performed a meta-analysis with a random-effects model to obtain pooled prevalence of MAP and its three forms categorized by testing methods (TBS and PCR). We used data from 14 studies (out of 258 screened) contributing 7932, 2506 women for GM and PM respectively, also data on 1143 umbilical cord blood samples, and 899 peripheral blood of neonates. We found prevalence by TBS as, MAP 4.5% (95%CI = 2.9-6.9), GM 5.8% (95%CI = 3.8-8.7), PM 3.4% (95%CI = 1.7-6.7) and CM 1.3% (95%CI = 0.6-3.0). With PCR the prevalence was, MAP 14.4% (95%CI = 7.6-25.5), GM 16.7% (95%CI = 9.0-28.8), PM 11.0% (95%CI = 4.1-26.3) and CM 16.2% (95%CI = 8.2-29.5). The prevalence of submicroscopic infection was 8.5% (95%CI = 3.4-19.7) in GM, 10.1% (95%CI = 3.5-25.5) in PM and 22.0% (95%CI = 13.2-34.3) in CM. Infections by P. vivax was dominant over P. falciparum when tested with TBS, the PCR test gave similar proportions of P. falciparum and P. vivax. This meta-analysis has demonstrated high prevalence of MAP in Colombia, and highlights the urgent need to increase attention of researchers, research funding institutions, government agencies, and health authorities to study and intervene MAP, that has currently been under investigated.</description><subject>Anemia</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Blood</subject><subject>Colombia</subject><subject>Congenital diseases</subject><subject>Cord blood</subject><subject>Diagnosis</subject><subject>Evaluation</subject><subject>Female</subject><subject>Government agencies</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infections</subject><subject>Institutional repositories</subject><subject>Malaria</subject><subject>Malaria, Falciparum - blood</subject><subject>Malaria, Falciparum - diagnosis</subject><subject>Malaria, Falciparum - epidemiology</subject><subject>Malaria, Falciparum - pathology</subject><subject>Malaria, Vivax - blood</subject><subject>Malaria, Vivax - diagnosis</subject><subject>Malaria, Vivax - epidemiology</subject><subject>Malaria, Vivax - pathology</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Neonates</subject><subject>People and places</subject><subject>Peripheral blood</subject><subject>Physical Sciences</subject><subject>Placenta</subject><subject>Plasmodium falciparum</subject><subject>Plasmodium falciparum - metabolism</subject><subject>Plasmodium vivax - metabolism</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Parasitic - blood</subject><subject>Pregnancy Complications, Parasitic - diagnosis</subject><subject>Pregnancy Complications, Parasitic - epidemiology</subject><subject>Pregnancy Complications, Parasitic - pathology</subject><subject>Pregnant women</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Research and Analysis Methods</subject><subject>Search engines</subject><subject>Systematic review</subject><subject>Umbilical cord</subject><subject>Vector-borne diseases</subject><subject>Womens 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of the prevalence of malaria associated with pregnancy in Colombia 2000-2020</title><author>Cardona-Arias, Jaiberth Antonio ; Carmona-Fonseca, Jaime</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-8f98ae2c811d84aec11adae19281657e908692dd769e4bb852450d1be05a27b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anemia</topic><topic>Biology and Life Sciences</topic><topic>Birth weight</topic><topic>Blood</topic><topic>Colombia</topic><topic>Congenital diseases</topic><topic>Cord blood</topic><topic>Diagnosis</topic><topic>Evaluation</topic><topic>Female</topic><topic>Government agencies</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infections</topic><topic>Institutional repositories</topic><topic>Malaria</topic><topic>Malaria, Falciparum - blood</topic><topic>Malaria, Falciparum - diagnosis</topic><topic>Malaria, Falciparum - 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Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cardona-Arias, Jaiberth Antonio</au><au>Carmona-Fonseca, Jaime</au><au>Carvalho, Luzia Helena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meta-analysis of the prevalence of malaria associated with pregnancy in Colombia 2000-2020</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-07-30</date><risdate>2021</risdate><volume>16</volume><issue>7</issue><spage>e0255028</spage><epage>e0255028</epage><pages>e0255028-e0255028</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Knowledge about malaria associated with pregnancy is scarce in Latin America, and in Colombia, little is known about the magnitude of this infection. A systematic review was conducted to determine the prevalence of malaria associated with pregnancy (MAP) and each of its three forms: gestational (GM), placental (PM), and congenital (CM) tested using thick blood smear (TBS) and PCR. Also to compare the proportion of cases due to Plasmodium falciparum and Plasmodium vivax in Colombia from the year 2000-2020. We searched in Pubmed, Science Direct, EMBASE, EMCare, Cochrane Library, Scielo, Lilacs, Google Scholar, libraries, and repositories of Colombian universities, to obtain data on prevalence of GM, PM and CM with their respective testing method. We performed a meta-analysis with a random-effects model to obtain pooled prevalence of MAP and its three forms categorized by testing methods (TBS and PCR). We used data from 14 studies (out of 258 screened) contributing 7932, 2506 women for GM and PM respectively, also data on 1143 umbilical cord blood samples, and 899 peripheral blood of neonates. We found prevalence by TBS as, MAP 4.5% (95%CI = 2.9-6.9), GM 5.8% (95%CI = 3.8-8.7), PM 3.4% (95%CI = 1.7-6.7) and CM 1.3% (95%CI = 0.6-3.0). With PCR the prevalence was, MAP 14.4% (95%CI = 7.6-25.5), GM 16.7% (95%CI = 9.0-28.8), PM 11.0% (95%CI = 4.1-26.3) and CM 16.2% (95%CI = 8.2-29.5). The prevalence of submicroscopic infection was 8.5% (95%CI = 3.4-19.7) in GM, 10.1% (95%CI = 3.5-25.5) in PM and 22.0% (95%CI = 13.2-34.3) in CM. Infections by P. vivax was dominant over P. falciparum when tested with TBS, the PCR test gave similar proportions of P. falciparum and P. vivax. This meta-analysis has demonstrated high prevalence of MAP in Colombia, and highlights the urgent need to increase attention of researchers, research funding institutions, government agencies, and health authorities to study and intervene MAP, that has currently been under investigated.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34329329</pmid><doi>10.1371/journal.pone.0255028</doi><tpages>e0255028</tpages><orcidid>https://orcid.org/0000-0002-7101-929X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-07, Vol.16 (7), p.e0255028-e0255028 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2556835183 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Anemia Biology and Life Sciences Birth weight Blood Colombia Congenital diseases Cord blood Diagnosis Evaluation Female Government agencies Health aspects Humans Infections Institutional repositories Malaria Malaria, Falciparum - blood Malaria, Falciparum - diagnosis Malaria, Falciparum - epidemiology Malaria, Falciparum - pathology Malaria, Vivax - blood Malaria, Vivax - diagnosis Malaria, Vivax - epidemiology Malaria, Vivax - pathology Medicine and Health Sciences Meta-analysis Neonates People and places Peripheral blood Physical Sciences Placenta Plasmodium falciparum Plasmodium falciparum - metabolism Plasmodium vivax - metabolism Pregnancy Pregnancy Complications, Parasitic - blood Pregnancy Complications, Parasitic - diagnosis Pregnancy Complications, Parasitic - epidemiology Pregnancy Complications, Parasitic - pathology Pregnant women Prevalence studies (Epidemiology) Research and Analysis Methods Search engines Systematic review Umbilical cord Vector-borne diseases Womens health |
| title | Meta-analysis of the prevalence of malaria associated with pregnancy in Colombia 2000-2020 |
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