Interactions between malaria and HIV infections in pregnant women: a first report of the magnitude, clinical and laboratory features, and predictive factors in Kinshasa, the Democratic Republic of Congo
Identifieur interne : 001574 ( Main/Exploration ); précédent : 001573; suivant : 001575Interactions between malaria and HIV infections in pregnant women: a first report of the magnitude, clinical and laboratory features, and predictive factors in Kinshasa, the Democratic Republic of Congo
Auteurs : Roger D. Wumba ; Josué Zanga ; Michel N. Aloni ; Kennedy Mbanzulu ; Aimé Kahindo ; Madone N. Mandina ; Mathilde B. Ekila ; Oussama Mouri [France] ; Eric Kendjo [France, Gabon, Allemagne]Source :
- Malaria Journal [ 1475-2875 ] ; 2015.
Abstract
HIV and malaria are among the leading causes of morbidity and mortality during pregnancy in Africa. However, data from Congolese pregnant women are lacking. The aim of the study was to determine the magnitude, predictive factors, clinical, biologic and anthropometric consequences of malaria infection, HIV infection, and interactions between malaria and HIV infections in pregnant women.
A cross-sectional study was conducted among pregnant women admitted and followed up at Camp Kokolo Military Hospital from 2009 to 2012 in Kinshasa, the Democratic Republic of Congo. Differences in means between malaria-positive and malaria-negative cases or between HIV-positive and HIV-negative cases were compared using the Student’s
A malaria infection was detected in 246/332 (74.1%) pregnant women, and 31.9% were anaemic. Overall, 7.5% (25/332) of mothers were infected by HIV, with a median CD4 count of 375 (191; 669) cells/μL. The mean (±SD) birth weight was 2,613 ± 227 g, with 35.7% of newborns weighing less than 2,500 g (low birth weight). Low birth weight, parity and occupation were significantly different between malaria-infected and uninfected women in adjusted models. However, fever, anemia, placenta previa, marital status and district of residence were significantly associated to HIV infection.
The prevalence of malaria infection was high in pregnant women attending the antenatal facilities or hospitalized and increased when associated with HIV infection.
Url:
DOI: 10.1186/s12936-015-0598-2
PubMed: 25884992
PubMed Central: 4336768
Affiliations:
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Wumba</name><affiliation><nlm:aff id="Aff1">Department of Tropical Medicine, Infectious and Parasitic Diseases, Department of Parasitology, University Clinic of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Congo</nlm:aff><wicri:noCountry code="subfield">Congo</wicri:noCountry></affiliation></author><author><name sortKey="Zanga, Josue" sort="Zanga, Josue" uniqKey="Zanga J" first="Josué" last="Zanga">Josué Zanga</name><affiliation><nlm:aff id="Aff1">Department of Tropical Medicine, Infectious and Parasitic Diseases, Department of Parasitology, University Clinic of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Congo</nlm:aff><wicri:noCountry code="subfield">Congo</wicri:noCountry></affiliation></author><author><name sortKey="Aloni, Michel N" sort="Aloni, Michel N" uniqKey="Aloni M" first="Michel N" last="Aloni">Michel N. Aloni</name><affiliation><nlm:aff id="Aff2">Department of Pediatrics, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshas, Kinshasa, the Democratic Republic of Congo</nlm:aff><wicri:noCountry code="subfield">the Democratic Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Mbanzulu, Kennedy" sort="Mbanzulu, Kennedy" uniqKey="Mbanzulu K" first="Kennedy" last="Mbanzulu">Kennedy Mbanzulu</name><affiliation><nlm:aff id="Aff1">Department of Tropical Medicine, Infectious and Parasitic Diseases, Department of Parasitology, University Clinic of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Congo</nlm:aff><wicri:noCountry code="subfield">Congo</wicri:noCountry></affiliation></author><author><name sortKey="Kahindo, Aime" sort="Kahindo, Aime" uniqKey="Kahindo A" first="Aimé" last="Kahindo">Aimé Kahindo</name><affiliation><nlm:aff id="Aff1">Department of Tropical Medicine, Infectious and Parasitic Diseases, Department of Parasitology, University Clinic of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Congo</nlm:aff><wicri:noCountry code="subfield">Congo</wicri:noCountry></affiliation></author><author><name sortKey="Mandina, Madone N" sort="Mandina, Madone N" uniqKey="Mandina M" first="Madone N" last="Mandina">Madone N. Mandina</name><affiliation><nlm:aff id="Aff3">Department of Internal Medicine, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, the Democratic Republic of Congo</nlm:aff><wicri:noCountry code="subfield">the Democratic Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Ekila, Mathilde B" sort="Ekila, Mathilde B" uniqKey="Ekila M" first="Mathilde B" last="Ekila">Mathilde B. Ekila</name><affiliation><nlm:aff id="Aff3">Department of Internal Medicine, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, the Democratic Republic of Congo</nlm:aff><wicri:noCountry code="subfield">the Democratic Republic of Congo</wicri:noCountry></affiliation></author><author><name sortKey="Mouri, Oussama" sort="Mouri, Oussama" uniqKey="Mouri O" first="Oussama" last="Mouri">Oussama Mouri</name><affiliation><nlm:aff id="Aff4">Centre Nationale de Référence du Paludisme, AP-HP, CHU Pitie Salpêtrière-Charles Foix, 47, boulevard de l’Hôpital, 75651 Paris, Cedex 13 France</nlm:aff><wicri:noCountry code="subfield">Cedex 13 France</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff5">Laboratory of Parasitology and Mycology, Pitié Salpêtrière Hospital, Public Assistance-Hospitals of Paris, Pierre and Marie Curie University, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Laboratory of Parasitology and Mycology, Pitié Salpêtrière Hospital, Public Assistance-Hospitals of Paris, Pierre and Marie Curie University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kendjo, Eric" sort="Kendjo, Eric" uniqKey="Kendjo E" first="Eric" last="Kendjo">Eric Kendjo</name><affiliation><nlm:aff id="Aff4">Centre Nationale de Référence du Paludisme, AP-HP, CHU Pitie Salpêtrière-Charles Foix, 47, boulevard de l’Hôpital, 75651 Paris, Cedex 13 France</nlm:aff><wicri:noCountry code="subfield">Cedex 13 France</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff5">Laboratory of Parasitology and Mycology, Pitié Salpêtrière Hospital, Public Assistance-Hospitals of Paris, Pierre and Marie Curie University, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Laboratory of Parasitology and Mycology, Pitié Salpêtrière Hospital, Public Assistance-Hospitals of Paris, Pierre and Marie Curie University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Parasitology, Mycology and Tropical Medicine, Faculty of Medicine, University of Health Sciences, Libreville, Gabon</nlm:aff><country xml:lang="fr">Gabon</country><wicri:regionArea>Department of Parasitology, Mycology and Tropical Medicine, Faculty of Medicine, University of Health Sciences, Libreville</wicri:regionArea><wicri:noRegion>Libreville</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff7">Institute of Tropical Medicine, University of Tubingen, Tubingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Tropical Medicine, University of Tubingen, Tubingen</wicri:regionArea><wicri:noRegion>Tubingen</wicri:noRegion><wicri:noRegion>Tubingen</wicri:noRegion><wicri:noRegion>Tubingen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Malaria Journal</title><idno type="eISSN">1475-2875</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>HIV and malaria are among the leading causes of morbidity and mortality during pregnancy in Africa. However, data from Congolese pregnant women are lacking. The aim of the study was to determine the magnitude, predictive factors, clinical, biologic and anthropometric consequences of malaria infection, HIV infection, and interactions between malaria and HIV infections in pregnant women.</p></sec><sec><title>Methods</title><p>A cross-sectional study was conducted among pregnant women admitted and followed up at Camp Kokolo Military Hospital from 2009 to 2012 in Kinshasa, the Democratic Republic of Congo. Differences in means between malaria-positive and malaria-negative cases or between HIV-positive and HIV-negative cases were compared using the Student’s <italic>t</italic>-test or a non-parametric test, if appropriate. Categorical variables were compared using the Chi-square or Fisher’s exact test, if appropriate. Backward multivariable analysis was used to evaluate the potential risk factors of malaria and HIV infections. The odds ratios with their 95% confidence interval (95% CI) were estimated to measure the strengths of the associations. Analyses resulting in values of P < 0.05 were considered significant.</p></sec><sec><title>Results</title><p>A malaria infection was detected in 246/332 (74.1%) pregnant women, and 31.9% were anaemic. Overall, 7.5% (25/332) of mothers were infected by HIV, with a median CD4 count of 375 (191; 669) cells/μL. The mean (±SD) birth weight was 2,613 ± 227 g, with 35.7% of newborns weighing less than 2,500 g (low birth weight). Low birth weight, parity and occupation were significantly different between malaria-infected and uninfected women in adjusted models. However, fever, anemia, placenta previa, marital status and district of residence were significantly associated to HIV infection.</p></sec><sec><title>Conclusion</title><p>The prevalence of malaria infection was high in pregnant women attending the antenatal facilities or hospitalized and increased when associated with HIV infection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hewitt, K" uniqKey="Hewitt K">K Hewitt</name></author><author><name sortKey="Steketee, R" uniqKey="Steketee R">R Steketee</name></author><author><name sortKey="Mwapasa, V" uniqKey="Mwapasa V">V Mwapasa</name></author><author><name sortKey="Whitworth, J" uniqKey="Whitworth J">J Whitworth</name></author><author><name sortKey="French, N" uniqKey="French N">N French</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="De Beaudrap, P" uniqKey="De Beaudrap P">P De 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uniqKey="Klement E">E Klement</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manyando, C" uniqKey="Manyando C">C Manyando</name></author><author><name sortKey="Njunju, Em" uniqKey="Njunju E">EM Njunju</name></author><author><name sortKey="D Lessandro, U" uniqKey="D Lessandro U">U D’Alessandro</name></author><author><name sortKey="Van Geertruyden, Jp" uniqKey="Van Geertruyden J">JP Van Geertruyden</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>France</li><li>Gabon</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Aloni, Michel N" sort="Aloni, Michel N" uniqKey="Aloni M" first="Michel N" last="Aloni">Michel N. Aloni</name><name sortKey="Ekila, Mathilde B" sort="Ekila, Mathilde B" uniqKey="Ekila M" first="Mathilde B" last="Ekila">Mathilde B. Ekila</name><name sortKey="Kahindo, Aime" sort="Kahindo, Aime" uniqKey="Kahindo A" first="Aimé" last="Kahindo">Aimé Kahindo</name><name sortKey="Mandina, Madone N" sort="Mandina, Madone N" uniqKey="Mandina M" first="Madone N" last="Mandina">Madone N. Mandina</name><name sortKey="Mbanzulu, Kennedy" sort="Mbanzulu, Kennedy" uniqKey="Mbanzulu K" first="Kennedy" last="Mbanzulu">Kennedy Mbanzulu</name><name sortKey="Wumba, Roger D" sort="Wumba, Roger D" uniqKey="Wumba R" first="Roger D" last="Wumba">Roger D. Wumba</name><name sortKey="Zanga, Josue" sort="Zanga, Josue" uniqKey="Zanga J" first="Josué" last="Zanga">Josué Zanga</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Mouri, Oussama" sort="Mouri, Oussama" uniqKey="Mouri O" first="Oussama" last="Mouri">Oussama Mouri</name></region><name sortKey="Kendjo, Eric" sort="Kendjo, Eric" uniqKey="Kendjo E" first="Eric" last="Kendjo">Eric Kendjo</name></country><country name="Gabon"><noRegion><name sortKey="Kendjo, Eric" sort="Kendjo, Eric" uniqKey="Kendjo E" first="Eric" last="Kendjo">Eric Kendjo</name></noRegion></country><country name="Allemagne"><noRegion><name sortKey="Kendjo, Eric" sort="Kendjo, Eric" uniqKey="Kendjo E" first="Eric" last="Kendjo">Eric Kendjo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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