Predictors of fetal anemia and cord blood malaria parasitemia among newborns of HIV-positive mothers
Identifieur interne : 000279 ( Pmc/Curation ); précédent : 000278; suivant : 000280Predictors of fetal anemia and cord blood malaria parasitemia among newborns of HIV-positive mothers
Auteurs : Amos K. Laar [Ghana] ; Fredrick E. Grant [Kenya] ; Yaw Addo [États-Unis] ; Ireneous Soyiri [Ghana, Malaisie] ; Bright Nkansah [Ghana] ; James Abugri [Ghana] ; Alexander S. Laar [Ghana] ; William K. Ampofo [Ghana] ; Juliette M. Tuakli [Ghana] ; Isabella A. Quakyi [Ghana]Source :
- BMC Research Notes [ 1756-0500 ] ; 2013.
Abstract
Malaria and HIV infections during pregnancy can individually or jointly unleash or confound pregnancy outcomes. Two of the probable outcomes are fetal anemia and cord blood malaria parasitemia. We determined clinical and demographic factors associated with fetal anemia and cord blood malaria parasitemia in newborns of HIV-positive women from two districts in Ghana.
We enrolled 1,154 antenatal attendees (443 HIV-positive and 711 HIV-negative) of which 66% were prospectively followed up at delivery. Maternal malaria parasitemia, and anemia rates among HIV+ participants at enrolment were 20.3% and 78.7% respectively, and 12.8% and 51.6% among HIV- participants. Multivariate linear and logistic regression models were used to study associations. Prevalence of fetal anemia (cord hemoglobin level < 12.5 g/dL) and cord parasitemia (presence of
Our data show that newborns of women infected with HIV and/or malaria are at increased risk of anemia and also cord blood malaria parasitemia. Prevention of malaria infection during pregnancy may reduce the incidence of both adverse perinatal outcomes.
Url:
DOI: 10.1186/1756-0500-6-350
PubMed: 24007344
PubMed Central: 3844504
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Grant</name><affiliation wicri:level="1"><nlm:aff id="I2">International Potato Centre, Mama SASHA Project, P.O. Box 1879, Bungoma, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>International Potato Centre, Mama SASHA Project, P.O. Box 1879, Bungoma</wicri:regionArea></affiliation></author><author><name sortKey="Addo, Yaw" sort="Addo, Yaw" uniqKey="Addo Y" first="Yaw" last="Addo">Yaw Addo</name><affiliation wicri:level="1"><nlm:aff id="I3">Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA</wicri:regionArea></affiliation></author><author><name sortKey="Soyiri, Ireneous" sort="Soyiri, Ireneous" uniqKey="Soyiri I" first="Ireneous" last="Soyiri">Ireneous Soyiri</name><affiliation wicri:level="1"><nlm:aff id="I4">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, University of Ghana, Accra</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Global Public Health, School of Medicine & Health Sciences, Monash University, Sunway Campus, Malaysia</nlm:aff><country xml:lang="fr">Malaisie</country><wicri:regionArea>Global Public Health, School of Medicine & Health Sciences, Monash University, Sunway Campus</wicri:regionArea></affiliation></author><author><name sortKey="Nkansah, Bright" sort="Nkansah, Bright" uniqKey="Nkansah B" first="Bright" last="Nkansah">Bright Nkansah</name><affiliation wicri:level="1"><nlm:aff id="I6">Nii Boi Town, Box NB 1157, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Nii Boi Town, Box NB 1157, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Abugri, James" sort="Abugri, James" uniqKey="Abugri J" first="James" last="Abugri">James Abugri</name><affiliation wicri:level="1"><nlm:aff id="I7">Department of Applied Chemistry and Biochemistry, Faculty of Applied Sciences, University for Development Studies, Navrongo Campus, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Applied Chemistry and Biochemistry, Faculty of Applied Sciences, University for Development Studies, Navrongo Campus</wicri:regionArea></affiliation></author><author><name sortKey="Laar, Alexander S" sort="Laar, Alexander S" uniqKey="Laar A" first="Alexander S" last="Laar">Alexander S. Laar</name><affiliation wicri:level="1"><nlm:aff id="I8">Project Fives Alive! National Catholic Health Service, Health Directorate, Lamashegu, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Project Fives Alive! National Catholic Health Service, Health Directorate, Lamashegu, Tamale</wicri:regionArea></affiliation></author><author><name sortKey="Ampofo, William K" sort="Ampofo, William K" uniqKey="Ampofo W" first="William K" last="Ampofo">William K. Ampofo</name><affiliation wicri:level="1"><nlm:aff id="I9">Noguchi Memorial Institute for Medical Research (NMIMR), University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Noguchi Memorial Institute for Medical Research (NMIMR), University of Ghana, Legon</wicri:regionArea></affiliation></author><author><name sortKey="Tuakli, Juliette M" sort="Tuakli, Juliette M" uniqKey="Tuakli J" first="Juliette M" last="Tuakli">Juliette M. Tuakli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Quakyi, Isabella A" sort="Quakyi, Isabella A" uniqKey="Quakyi I" first="Isabella A" last="Quakyi">Isabella A. Quakyi</name><affiliation wicri:level="1"><nlm:aff id="I10">Department of Biological, Environmental, & Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Biological, Environmental, & Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24007344</idno><idno type="pmc">3844504</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844504</idno><idno type="RBID">PMC:3844504</idno><idno type="doi">10.1186/1756-0500-6-350</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000280</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000280</idno><idno type="wicri:Area/Pmc/Curation">000279</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000279</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Predictors of fetal anemia and cord blood malaria parasitemia among newborns of HIV-positive mothers</title><author><name sortKey="Laar, Amos K" sort="Laar, Amos K" uniqKey="Laar A" first="Amos K" last="Laar">Amos K. Laar</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Grant, Fredrick E" sort="Grant, Fredrick E" uniqKey="Grant F" first="Fredrick E" last="Grant">Fredrick E. Grant</name><affiliation wicri:level="1"><nlm:aff id="I2">International Potato Centre, Mama SASHA Project, P.O. Box 1879, Bungoma, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>International Potato Centre, Mama SASHA Project, P.O. Box 1879, Bungoma</wicri:regionArea></affiliation></author><author><name sortKey="Addo, Yaw" sort="Addo, Yaw" uniqKey="Addo Y" first="Yaw" last="Addo">Yaw Addo</name><affiliation wicri:level="1"><nlm:aff id="I3">Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA</wicri:regionArea></affiliation></author><author><name sortKey="Soyiri, Ireneous" sort="Soyiri, Ireneous" uniqKey="Soyiri I" first="Ireneous" last="Soyiri">Ireneous Soyiri</name><affiliation wicri:level="1"><nlm:aff id="I4">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, University of Ghana, Accra</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Global Public Health, School of Medicine & Health Sciences, Monash University, Sunway Campus, Malaysia</nlm:aff><country xml:lang="fr">Malaisie</country><wicri:regionArea>Global Public Health, School of Medicine & Health Sciences, Monash University, Sunway Campus</wicri:regionArea></affiliation></author><author><name sortKey="Nkansah, Bright" sort="Nkansah, Bright" uniqKey="Nkansah B" first="Bright" last="Nkansah">Bright Nkansah</name><affiliation wicri:level="1"><nlm:aff id="I6">Nii Boi Town, Box NB 1157, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Nii Boi Town, Box NB 1157, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Abugri, James" sort="Abugri, James" uniqKey="Abugri J" first="James" last="Abugri">James Abugri</name><affiliation wicri:level="1"><nlm:aff id="I7">Department of Applied Chemistry and Biochemistry, Faculty of Applied Sciences, University for Development Studies, Navrongo Campus, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Applied Chemistry and Biochemistry, Faculty of Applied Sciences, University for Development Studies, Navrongo Campus</wicri:regionArea></affiliation></author><author><name sortKey="Laar, Alexander S" sort="Laar, Alexander S" uniqKey="Laar A" first="Alexander S" last="Laar">Alexander S. Laar</name><affiliation wicri:level="1"><nlm:aff id="I8">Project Fives Alive! National Catholic Health Service, Health Directorate, Lamashegu, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Project Fives Alive! National Catholic Health Service, Health Directorate, Lamashegu, Tamale</wicri:regionArea></affiliation></author><author><name sortKey="Ampofo, William K" sort="Ampofo, William K" uniqKey="Ampofo W" first="William K" last="Ampofo">William K. Ampofo</name><affiliation wicri:level="1"><nlm:aff id="I9">Noguchi Memorial Institute for Medical Research (NMIMR), University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Noguchi Memorial Institute for Medical Research (NMIMR), University of Ghana, Legon</wicri:regionArea></affiliation></author><author><name sortKey="Tuakli, Juliette M" sort="Tuakli, Juliette M" uniqKey="Tuakli J" first="Juliette M" last="Tuakli">Juliette M. Tuakli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Quakyi, Isabella A" sort="Quakyi, Isabella A" uniqKey="Quakyi I" first="Isabella A" last="Quakyi">Isabella A. Quakyi</name><affiliation wicri:level="1"><nlm:aff id="I10">Department of Biological, Environmental, & Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Biological, Environmental, & Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Malaria and HIV infections during pregnancy can individually or jointly unleash or confound pregnancy outcomes. Two of the probable outcomes are fetal anemia and cord blood malaria parasitemia. We determined clinical and demographic factors associated with fetal anemia and cord blood malaria parasitemia in newborns of HIV-positive women from two districts in Ghana.</p></sec><sec><title>Results</title><p>We enrolled 1,154 antenatal attendees (443 HIV-positive and 711 HIV-negative) of which 66% were prospectively followed up at delivery. Maternal malaria parasitemia, and anemia rates among HIV+ participants at enrolment were 20.3% and 78.7% respectively, and 12.8% and 51.6% among HIV- participants. Multivariate linear and logistic regression models were used to study associations. Prevalence of fetal anemia (cord hemoglobin level < 12.5 g/dL) and cord parasitemia (presence of <italic>P</italic>. <italic>falciparum</italic> in cord blood at delivery) were 57.3% and 24.4% respectively. Factors found to be associated with fetal anemia were maternal malaria parasitemia and maternal anemia. Infant cord hemoglobin status at delivery was positively and significantly associated with maternal hemoglobin and gestational age whilst female gender of infant was negatively associated with cord hemoglobin status. Maternal malaria parasitemia status at recruitment and female gender of infant were positively associated with infant cord malaria parasitemia status.</p></sec><sec><title>Conclusions</title><p>Our data show that newborns of women infected with HIV and/or malaria are at increased risk of anemia and also cord blood malaria parasitemia. Prevention of malaria infection during pregnancy may reduce the incidence of both adverse perinatal outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Steketee, Rw" uniqKey="Steketee R">RW Steketee</name></author><author><name sortKey="Wirima, Jj" uniqKey="Wirima J">JJ Wirima</name></author><author><name sortKey="Hightower, Aw" uniqKey="Hightower A">AW Hightower</name></author><author><name sortKey="Slutsker, L" uniqKey="Slutsker L">L Slutsker</name></author><author><name sortKey="Heymann, Dl" uniqKey="Heymann D">DL Heymann</name></author><author><name sortKey="Breman, Jg" uniqKey="Breman J">JG Breman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mwapasa, V" uniqKey="Mwapasa V">V Mwapasa</name></author><author><name sortKey="Rogerson, Sj" uniqKey="Rogerson S">SJ Rogerson</name></author><author><name sortKey="Molyneux, Me" uniqKey="Molyneux M">ME 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Res Notes</journal-id><journal-id journal-id-type="iso-abbrev">BMC Res Notes</journal-id><journal-title-group><journal-title>BMC Research Notes</journal-title></journal-title-group><issn pub-type="epub">1756-0500</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24007344</article-id><article-id pub-id-type="pmc">3844504</article-id><article-id pub-id-type="publisher-id">1756-0500-6-350</article-id><article-id pub-id-type="doi">10.1186/1756-0500-6-350</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Predictors of fetal anemia and cord blood malaria parasitemia among newborns of HIV-positive mothers</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Laar</surname><given-names>Amos K</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>aklaar@yahoo.com</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Grant</surname><given-names>Fredrick E</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>ebogrant5@yahoo.com</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Addo</surname><given-names>Yaw</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>addo0008@umn.edu</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Soyiri</surname><given-names>Ireneous</given-names></name><xref ref-type="aff" rid="I4">4</xref><xref ref-type="aff" rid="I5">5</xref><email>soyiriin@yahoo.com</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Nkansah</surname><given-names>Bright</given-names></name><xref ref-type="aff" rid="I6">6</xref><email>nkansah.bright@gmail.com</email></contrib><contrib contrib-type="author" id="A6"><name><surname>Abugri</surname><given-names>James</given-names></name><xref ref-type="aff" rid="I7">7</xref><email>abugrij2001@yahoo.com</email></contrib><contrib contrib-type="author" id="A7"><name><surname>Laar</surname><given-names>Alexander S</given-names></name><xref ref-type="aff" rid="I8">8</xref><email>laar.alex.suuk@gmail.com</email></contrib><contrib contrib-type="author" id="A8"><name><surname>Ampofo</surname><given-names>William K</given-names></name><xref ref-type="aff" rid="I9">9</xref><email>WAmpofo@noguchi.mimcom.org</email></contrib><contrib contrib-type="author" id="A9"><name><surname>Tuakli</surname><given-names>Juliette M</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>tuaklij@yahoo.com</email></contrib><contrib contrib-type="author" id="A10"><name><surname>Quakyi</surname><given-names>Isabella A</given-names></name><xref ref-type="aff" rid="I10">10</xref><email>iaquakyi@yahoo.com</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</aff><aff id="I2"><label>2</label>International Potato Centre, Mama SASHA Project, P.O. Box 1879, Bungoma, Kenya</aff><aff id="I3"><label>3</label>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA</aff><aff id="I4"><label>4</label>School of Public Health, University of Ghana, Accra, Ghana</aff><aff id="I5"><label>5</label>Global Public Health, School of Medicine & Health Sciences, Monash University, Sunway Campus, Malaysia</aff><aff id="I6"><label>6</label>Nii Boi Town, Box NB 1157, Accra, Ghana</aff><aff id="I7"><label>7</label>Department of Applied Chemistry and Biochemistry, Faculty of Applied Sciences, University for Development Studies, Navrongo Campus, Ghana</aff><aff id="I8"><label>8</label>Project Fives Alive! National Catholic Health Service, Health Directorate, Lamashegu, Tamale, Ghana</aff><aff id="I9"><label>9</label>Noguchi Memorial Institute for Medical Research (NMIMR), University of Ghana, Legon, Ghana</aff><aff id="I10"><label>10</label>Department of Biological, Environmental, & Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, Box LG 13, Legon, Accra, Ghana</aff><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>3</day><month>9</month><year>2013</year></pub-date><volume>6</volume><fpage>350</fpage><lpage>350</lpage><history><date date-type="received"><day>23</day><month>5</month><year>2013</year></date><date date-type="accepted"><day>30</day><month>8</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Laar et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder>Laar et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1756-0500/6/350"></self-uri><abstract><sec><title>Background</title><p>Malaria and HIV infections during pregnancy can individually or jointly unleash or confound pregnancy outcomes. Two of the probable outcomes are fetal anemia and cord blood malaria parasitemia. We determined clinical and demographic factors associated with fetal anemia and cord blood malaria parasitemia in newborns of HIV-positive women from two districts in Ghana.</p></sec><sec><title>Results</title><p>We enrolled 1,154 antenatal attendees (443 HIV-positive and 711 HIV-negative) of which 66% were prospectively followed up at delivery. Maternal malaria parasitemia, and anemia rates among HIV+ participants at enrolment were 20.3% and 78.7% respectively, and 12.8% and 51.6% among HIV- participants. Multivariate linear and logistic regression models were used to study associations. Prevalence of fetal anemia (cord hemoglobin level < 12.5 g/dL) and cord parasitemia (presence of <italic>P</italic>. <italic>falciparum</italic> in cord blood at delivery) were 57.3% and 24.4% respectively. Factors found to be associated with fetal anemia were maternal malaria parasitemia and maternal anemia. Infant cord hemoglobin status at delivery was positively and significantly associated with maternal hemoglobin and gestational age whilst female gender of infant was negatively associated with cord hemoglobin status. Maternal malaria parasitemia status at recruitment and female gender of infant were positively associated with infant cord malaria parasitemia status.</p></sec><sec><title>Conclusions</title><p>Our data show that newborns of women infected with HIV and/or malaria are at increased risk of anemia and also cord blood malaria parasitemia. Prevention of malaria infection during pregnancy may reduce the incidence of both adverse perinatal outcomes.</p></sec></abstract><kwd-group><kwd>HIV</kwd><kwd>Malaria</kwd><kwd>Fetal anemia</kwd><kwd>Cord blood malaria parasitemia</kwd><kwd>Ghana</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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