Evidence map›Paper›PMID 27187593›Full record

ArticlePloS one2016

Personal Protection of Permethrin-Treated Clothing against Aedes aegypti, the Vector of Dengue and Zika Virus, in the Laboratory.

James Orsborne, Sarah DeRaedt Banks, Adam Hendy, Salvador A Gezan, Harparkash Kaur, Annelies Wilder-Smith, Steve W Lindsay, James G Logan

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03813069 (A Within-subject Laboratory and Field Trial to Test the Use of Commercially Available Insect Repellents Against Contact From Musca Sorbens, the Putative Vector of Trachoma), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03813069 phase2completednot on this mapstarted 2019, after this paper: background citation

A Within-subject Laboratory and Field Trial to Test the Use of Commercially Available Insect Repellents Against Contact From Musca Sorbens, the Putative Vector of Trachoma

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2019 to 2019Enrolled64ConditionsTrachomaArmsIR3535, Permethrin lower dose, Permethrin higher dose
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  8. Review
  9. Maternally derived antibody titer dynamics and risk of hospitalized infant dengue disease.Proceedings of the National Academy of Sciences of the United States of America · 2023
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  18. Pyrethroids: How They Affect Human and Animal Health?Medicina (Kaunas, Lithuania) · 2020
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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

8 authors.

James OrsborneDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Sarah DeRaedt BanksDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Adam HendyDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Salvador A GezanSFRC, University of Florida, Gainesville, Florida, United States of America.
Harparkash KaurDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Annelies Wilder-SmithDepartment of Global Health and Epidemiology, Umea University, Umea, Sweden.
Steve W LindsaySchool of Biological and Biomedical Sciences, Durham University, Durham, United Kingdom.
James G LoganDepartment of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe dengue and Zika viruses are primarily transmitted by Aedes aegypti mosquitoes, which are most active during day light hours and feed both in and outside of the household. Personal protection technologies such as insecticide-treated clothing could provide individual protection. Here we assessed the efficacy of permethrin-treated clothing on personal protection in the laboratory.

methodsThe effect of washing on treated clothing, skin coverage and protection against resistant and susceptible Ae. aegypti was assessed using modified WHO arm-in-cage assays. Coverage was further assessed using free-flight room tests to investigate the protective efficacy of unwashed factory-dipped permethrin-treated clothing. Clothing was worn as full coverage (long sleeves and trousers) and partial coverage (short sleeves and shorts). Residual permethrin on the skin and its effect on mosquitoes was measured using modified WHO cone assays and quantified using high-pressure liquid chromatography (HPLC) analysis.

resultsIn the arm-in-cage assays, unwashed clothing reduced landing by 58.9% (95% CI 49.2-66.9) and biting by 28.5% (95% CI 22.5-34.0), but reduced to 18.5% (95% CI 14.7-22.3) and 11.1% (95% CI 8.5-13.8) respectively after 10 washes. Landing and biting for resistant and susceptible strains was not significantly different (p<0.05). In free-flight room tests, full coverage treated clothing reduced landing by 24.3% (95% CI 17.4-31.7) and biting by 91% (95% CI 82.2-95.9) with partial coverage reducing landing and biting by 26.4% (95% CI 20.3-31.2) and 49.3% (95% CI 42.1-59.1) respectively with coverage type having no significant difference on landing (p<0.05). Residual permethrin was present on the skin in low amounts (0.0041mg/cm2), but still produced a KD of >80% one hour after wearing treated clothing.

conclusionWhilst partially covering the body with permethrin-treated clothing provided some protection against biting, wearing treated clothing with long sleeves and trousers provided the highest form of protection. Washing treated clothing dramatically reduced protection provided. Permethrin-treated clothing could provide protection to individuals from Ae. aegypti that show permethrin resistance. Additionally, it could continue to provide protection even after the clothing has been worn. Field trials are urgently needed to determine whether clothing can protect against dengue and Zika.

Indexed as

AedesInsect VectorsAnimalsClothingDengueFemaleHumansInsect RepellentsPermethrinZika Virus InfectionInsect RepellentsPermethrin

Identifiers

PMID27187593
PMCPMC4871372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.