Evidence map›Paper›PMID 40108516›Full record

ArticleBMC infectious diseases2025

Treatment outcomes of patients with uncomplicated malaria and associated factors in Northwest Ethiopia: a prospective follow-up study, 2024.

Tilahun Bizuayehu Demass, Mulat Addis Beshaw, Getasew Mulat Bantie, Belay Bezabih Beyene, Melaku Tadege, Agumas Alemu Alehegn, Abraham Amsalu Berneh, Mulat Yimer, Amare Alemu Melese, Wondwossen Amogne Degu

Abstract read
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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Tilahun Bizuayehu DemassCollege of Health Sciences, Tikur Anbessa Specialized Hospital, Department of Internal Medicine, Infectious Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Mulat Addis BeshawDepartment of Internal Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar town, Ethiopia.
Getasew Mulat BantieRegional Data Management Center for Health, Amhara Public Health Institute, Bahir Dar City, Ethiopia. getasewmulat@gmail.com.
Belay Bezabih BeyeneAmhara Public Health Institute, Bahir Dar City, Ethiopia.
Melaku TadegeRegional Data Management Center for Health, Amhara Public Health Institute, Bahir Dar City, Ethiopia.
Agumas Alemu AlehegnAmhara Public Health Institute, Bahir Dar City, Ethiopia.
Abraham Amsalu BernehAmhara Public Health Institute, Bahir Dar City, Ethiopia.
Mulat YimerDepartment of Parasitology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar City, Ethiopia.
Amare Alemu MeleseEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Wondwossen Amogne DeguCollege of Health Sciences, Tikur Anbessa Specialized Hospital, Department of Internal Medicine, Infectious Unit, Addis Ababa University, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria is the major public health problem in low-income countries like Ethiopia. Despite extensive interventional studies being conducted to attain the 2030 malaria elimination goals, there is limited data on the treatment outcomes of uncomplicated malaria in Ethiopia. Thus, this study aimed to assess the treatment outcomes and associated factors of uncomplicated malaria in Northwest Ethiopia.

methodsThis study was conducted in two health centers, Kolla Diba and Forhe-Sankira, located in Dembia and North Achefer Districts, from April to June 2024. Data was collected from 460 study participants who presented with signs and symptoms and from parasitologically confirmed patients. Malaria was confirmed using microscopy and rapid diagnostic tests (RDT). The parasitologically confirmed patients were appointed on the 3rd, 7th, 14th, and 28th days to determine treatment outcomes for those who were parasitemic on the preceding visit or symptomatic at each visit. The collected longitudinal data was entered and cleaned by Epi-data 4.1 and then analyzed using SPSS 25 software. Descriptive statistics were computed. A binary logistic regression model was fitted to identify factors associated with unsuccessful treatment outcomes at a 95% CI, and a p-value ˂ 0.05 was considered significant.

resultsOf the 460 study participants, 234 (50.9%) were parasitologically confirmed. Treatment outcomes were determined for 224 (95.7%) patients. Ten patients were lost to follow-up. The overall unsuccessful treatment rate was 18.8%. No previous malaria attack (AOR = 18.62, 95% CI: 5.15, 67.25), being infected by Plasmodium vivax (AOR = 8.58; 95% CI: 2.85, 25.83), and coartem two times for 3 days plus primaquine for 14 days (AOR = 4.84; 95% CI: 1.83, 12.79) were the identified factors for unsuccessful treatment outcomes. CONCLUSIONS AND RECOMMENDATIONS: This study revealed that a higher proportion of patients had an unsuccessful treatment outcome. No previous malarial attack, being infected by Plasmodium vivax, and coartem plus primaquine were the identified factors for unsuccessful treatment outcomes. We recommend that healthcare providers prescribe first-line antimalarial therapy and appoint patients for follow-up evaluation according to the national guidelines to identify treatment failure early.

Indexed as

AntimalarialsMalariaMalaria, FalciparumMalaria, VivaxAdolescentAdultChildChild, PreschoolEthiopiaFemaleFollow-Up StudiesHumansInfantMaleMiddle AgedProspective StudiesAntimalarialsCureFactorsFailureLost to follow-upTreatment outcomeUncomplicated malaria

Identifiers

PMID40108516
PMCPMC11924737

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LicenceCC BY-NC-ND
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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.