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Congenitally acquired malaria in a hyperendemic area: A cohort study.


CC Ezechukwu
IM Ekejindu
EF Ugochukwu
I Egbuonu
M Oguatu
JO Chukwuka

Abstract

Objective: To determine the prevalence of congenitally acquired malaria in Nnewi South eastern Nigeria


Setting: Hospital based. Tertiary care centre in a tropical rain forest hyperendemic malaria zone.


Materials/Subjects: Cross-sectional prospective study. Blood samples of 94 mother-baby pairs were examined for malaria parasitaemia


Results: Out of the 94 mothers, 83 or 87.8% had received pyrimethamine prophylaxis throughout pregnancy. Despite this 50.0% were parasitized. 24.6% of neonates had malaria parasites. The birth weights of the infected neonates were not affected. Maternal parasite densities correlated with those of the babies.


Conclusions: More effective antenatal antimalarial prophylaxis is needed to reduce the prevalence of congenitally acquired malaria.


Tropical Journal of Medical Research 2004;8(2): 44-48

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eISSN: 1119-0388