Evidence map›Paper›PMID 24581394›Full record

ArticleMalaria journal2014

Impact of long-lasting, insecticidal nets on anaemia and prevalence of Plasmodium falciparum among children under five years in areas with highly resistant malaria vectors.

Filémon T Tokponnon, Aurore Hounto Ogouyémi, Yolande Sissinto, Arthur Sovi, Virgile Gnanguenon, Sylvie Cornélie, Adicath Adéola Adéothy, Razaki Ossè, Abel Wakpo, Dina Gbénou and 5 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Filémon T TokponnonNational Malaria Control Programme, Cotonou, Benin. filemont@yahoo.fr.
Aurore Hounto Ogouyémi
Yolande Sissinto
Arthur Sovi
Virgile Gnanguenon
Sylvie Cornélie
Adicath Adéola Adéothy
Razaki Ossè
Abel Wakpo
Dina Gbénou
Mariam Oke
Dorothée Kinde-Gazard
Immo Kleinschmidt
Martin C Akogbeto
Achille Massougbodji
Université d'Abomey-Calavi · BJAidjan-Lagos Corridor Organization · BJProgamme National Contre le Tuberculose · BJInstitut de Recherche pour le Développement · BJLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MR/K012126/1World Health Organization 001
6 · The paper itself

Abstract

backgroundThe widespread use of insecticide-treated nets (LLINs) leads to the development of vector resistance to insecticide. This resistance can reduce the effectiveness of LLIN-based interventions and perhaps reverse progress in reducing malaria morbidity. To prevent such difficulty, it is important to know the real impact of resistance in the effectiveness of mosquito nets. Therefore, an assessment of LLIN efficacy was conducted in malaria prevention among children in high and low resistance areas.

methodsThe study was conducted in four rural districts and included 32 villages categorized as low or high resistance areas in Plateau Department, south-western Benin. Larvae collection was conducted to measure vector susceptibility to deltamethrin and knockdown resistance (kdr) frequency. In each resistance area, around 500 children were selected to measure the prevalence of malaria infection as well as the prevalence of anaemia associated with the use of LLINs.

resultsObserved mortalities of Anopheles gambiae s.s population exposed to deltamethrin ranged from 19 to 96%. Knockdown resistance frequency was between 38 and 84%. The prevalence of malaria infection in children under five years was 22.4% (19.9-25.1). This prevalence was 17.3% (14.2-20.9) in areas of high resistance and 27.1% (23.5-31.1) in areas of low resistance (p=0.04). Eight on ten children that were aged six - 30 months against seven on ten of those aged 31-59 months were anaemic. The anaemia observed in the six to 30-month old children was significantly higher than in the 31-59 month old children (p=0.00) but no difference associated with resistance areas was observed (p=0.35). The net use rate was 71%. The risk of having malaria was significantly reduced (p<0.05) with LLIN use in both low and high resistance areas. The preventive effect of LLINs in high resistance areas was 60% (95% CI: 40-70), and was significantly higher than that observed in low resistance areas (p<0.05).

conclusionThe results of this study showed that the resistance of malaria vectors seems to date not have affected the impact of LLINs and the use of LLINs was highly associated with reduced malaria prevalence irrespective of resistance.

Indexed as

Insecticide ResistanceAdultAnemiaAnimalsAnophelesBeninBiological AssayChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornInsecticidesInsecticide-Treated BednetsdecamethrinInsecticidesNitrilesPyrethrins

Identifiers

PMID24581394
PMCPMC3973997
OpenAlexW2170833621

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.