Evidence map›Paper›PMID 29553316›Full record

ArticleEmerging infectious diseases2018

Artemisinin-Resistant Plasmodium falciparum with High Survival Rates, Uganda, 2014-2016.

Mie Ikeda, Megumi Kaneko, Shin-Ichiro Tachibana, Betty Balikagala, Miki Sakurai-Yatsushiro, Shouki Yatsushiro, Nobuyuki Takahashi, Masato Yamauchi, Makoto Sekihara, Muneaki Hashimoto and 15 more

Open access · diamondAbstract readHistorical Article
In one paragraph

Article in Emerging infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 4 pooled it
13.3field-weighted citation impact, top 1% 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

89 citing papers in PubMed, 4 syntheses or guidelines pooled it, 172 citations in OpenAlex.

  1. Pooled it
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  14. Plasmodium falciparum isolates: ex vivo drug response.The Journal of antimicrobial chemotherapy · 2025
    Article
  15. A NovelmedRxiv : the preprint server for health sciences · 2025
    Article
  16. Article
  17. Article
  18. Artemisinin pressure in field isolates can select highly resistantAntimicrobial agents and chemotherapy · 2025
    Article
  19. Article
  20. Ellagic Acid fromMolecules (Basel, Switzerland) · 2025
    Article

29 more citing papers are in PubMed but not listed here.

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

25 authors at 7 institutions in 2 countries.

Mie Ikeda
Megumi Kaneko
Shin-Ichiro Tachibana
Betty Balikagala
Miki Sakurai-Yatsushiro
Shouki Yatsushiro
Nobuyuki Takahashi
Masato Yamauchi
Makoto Sekihara
Muneaki Hashimoto
Osbert T Katuro
Alex Olia
Paul S Obwoya
Mary A Auma
Denis A Anywar
Emmanuel I Odongo-Aginya
Joseph Okello-Onen
Makoto Hirai
Jun Ohashi
Nirianne M Q Palacpac
Masatoshi Kataoka
Takafumi Tsuboi
Eisaku Kimura
Toshihiro Horii
Toshihiro Mita
Juntendo University · JPThe University of Tokyo · JPTokyo Women's Medical University · JPEhime University · JPNational Institute of Advanced Industrial Science and Technology · JPGulu University · UGOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because ≈90% of malaria cases occur in Africa, emergence of artemisinin-resistant Plasmodium falciparum in Africa poses a serious public health threat. To assess emergence of artemisinin-resistant parasites in Uganda during 2014-2016, we used the recently developed ex vivo ring-stage survival assay, which estimates ring-stage-specific P. falciparum susceptibility to artemisinin. We conducted 4 cross-sectional surveys to assess artemisinin sensitivity in Gulu, Uganda. Among 194 isolates, survival rates (ratio of viable drug-exposed parasites to drug-nonexposed controls) were high (>10%) for 4 isolates. Similar rates have been closely associated with delayed parasite clearance after drug treatment and are considered to be a proxy for the artemisinin-resistant phenotype. Of these, the PfKelch13 mutation was observed in only 1 isolate, A675V. Population genetics analysis suggested that these possibly artemisinin-resistant isolates originated in Africa. Large-scale surveillance of possibly artemisinin-resistant parasites in Africa would provide useful information about treatment outcomes and help regional malaria control.

Indexed as

Drug ResistanceAntimalarialsArtemisininsChild, PreschoolCross-Sectional StudiesFemaleGenotypeHistory, 21st CenturyHumansMalaria, FalciparumMaleMutationPhenotypePlasmodium falciparumSurvival RateUgandaAntimalarialsartemisininArtemisininsantimicrobial resistanceArtemisinindrug resistancemalariaparasitesPlasmodium falciparumUganda

Identifiers

PMID29553316
PMCPMC5875287
OpenAlexW2791105224

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.