Evidence map›Paper›PMID 39844157›Full record

SynthesisMalaria journal2025

Prevalence, characteristics, and treatment outcome of congenital malaria in Nigeria: a systematic review.

Emmanuel Kokori, Gbolahan Olatunji, Bonaventure Michael Ukoaka, Israel Charles Abraham, Rosemary Komolafe, Victor Oluwatomiwa Ajekiigbe, Ntishor Gabriel Udam, Stanley Eneh, Chidiogo Ezenwoba, Adetola Emmanuel Babalola and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Malaria journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

12 authors.

Emmanuel KokoriDepartment of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria.
Gbolahan OlatunjiDepartment of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria.
Bonaventure Michael UkoakaDepartment of Internal Medicine, Asokoro District Hospital, Abuja, Nigeria.
Israel Charles AbrahamDepartment of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria.
Rosemary KomolafeBloomberg School of Public Health, John Hopkins University, Maryland, USA.
Victor Oluwatomiwa AjekiigbeDepartment of Medicine and Surgery, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.
Ntishor Gabriel UdamUniversity of Calabar, Calabar, Nigeria.
Stanley EnehCommunity Health Department, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.
Chidiogo EzenwobaDepartment of Medicine, University of Benin Teaching Hospital, Benin, Nigeria.
Adetola Emmanuel BabalolaFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Oluwatobi OmoworareDepartment of Medicine and Surgery, Lagos State University, Lagos, Nigeria.
Nicholas AderintoDepartment of Medicine and Surgery, Ladoke Akintola University of Technology, Ogbomoso, Nigeria. nicholasoluwaseyi6@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital malaria remains a significant public health challenge in Nigeria, particularly in regions with high malaria endemicity. The increased vertical transmission of malaria is partly associated with the high susceptibility of women to malaria during pregnancy. This systematic review aimed to assess the prevalence, characteristics, and treatment outcomes of congenital malaria in Nigeria.

methodsTwelve studies were included in this review. Studies were retrieved from multiple electronic databases such as PubMed, EMBASE, Google Scholar, Scopus, Web of Science, African Journals Online (AJOL), and Cochrane Library and subjected to a multistage screening per established eligibility criteria. The study was registered with PROSPERO and was conducted per PRSIMA-established guidelines. Quality assessment of included studies was done using the Critical Appraisal Skills Programme (CASP) framework, while a narrative synthesis synthesized and summarized extracted data.

resultsThe prevalence of congenital malaria in Nigeria ranged from as low as 5.1% to as high as 96.3%. Clinical manifestations were often non-specific, with fever being the most common symptom. Treatment regimens included a variety of antimalarial drugs, such as chloroquine, sulfadoxine-pyrimethamine, amodiaquine, quinine, and artemisinin-based combination therapy. While treatment outcomes were generally positive, some studies reported complications and deaths.

conclusionsThe findings highlight the need for improved diagnostic tools, standardized treatment protocols, and targeted interventions in high-burden areas. Further research is required to investigate the long-term health outcomes of neonates with congenital malaria and to evaluate the effectiveness of different treatment strategies. By addressing these gaps, effective prevention and management strategies can be developed to reduce the burden of congenital malaria in Nigeria.

Indexed as

AntimalarialsMalariaFemaleHumansInfant, NewbornNigeriaPregnancyPrevalenceTreatment OutcomeAntimalarialsClinical characteristicsCongenital malariaNigeriaPrevalenceTreatment outcomes

Identifiers

PMID39844157
PMCPMC11755942

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Registered trials

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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.