Evidence map›Paper›PMID 40890777›Full record

ArticleMalaria journal2025

Patterns of patent and sub-patent Plasmodium falciparum infections in household members of children under seasonal malaria chemoprevention coverage in the health district of Nanoro, Burkina Faso.

Sié A Elisée Kambou, Paul Sondo, Bérenger Kabore, Ipéné Mylène Carenne Bayala, Amélé Fifi Chantal Kouevi, Eulalie W Compaore, Kié Solange Millogo, Bouda Ismaïla, Toussaint Rouamba, Adama Kazienga and 9 more

Abstract read
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Article in Malaria journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

19 authors.

Sié A Elisée KambouInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso. eliseekambou96@gmail.com.
Paul SondoInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Bérenger KaboreInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Ipéné Mylène Carenne BayalaInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Amélé Fifi Chantal KoueviInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Eulalie W CompaoreInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Kié Solange MillogoInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Bouda IsmaïlaInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Toussaint RouambaInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Adama KaziengaInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Derra KarimInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Eli RouambaInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.
Prabin DahalInfectious Diseases Data Observatory (IDDO), Oxford, UK.
Sabina D OtienoburuInfectious Diseases Data Observatory (IDDO), Oxford, UK.
Jaishree RamanCentre for Emerging Zoonotic and Parasitic Diseases, National Institute for Communicable Diseases Johannesburg, Johannesburg, South Africa.
Mehul DhordaInfectious Diseases Data Observatory (IDDO), Oxford, UK.
Sanata BambaInstitut Supérieur Des Sciences de La Santé (INSSA), Université Nazi Boni, Bobo Dioulasso, Burkina Faso.
Philippe J GuérinInfectious Diseases Data Observatory (IDDO), Oxford, UK.
Halidou TintoInstitut de Recherche en Sciences de La Santé (IRSS), ClinicalResearch Unit of Nanoro (CRUN), Nanoro, Burkina Faso.

Funding

Expertise France, L'Initiative (20SANIN204)
6 · The paper itself

Abstract

backgroundSeasonal Malaria Chemoprevention (SMC) has been adopted since 2014 in Burkina Faso to reduce malaria burden in children under 5 years. However, the intervention's expected potential has not yet been achieved in real-life conditions, suggesting other factors may influence its effectiveness. Asymptomatic carriers, including patent and sub-patent Plasmodium falciparum infections in household members seems to be a potential factor maintaining the high malaria burden in children under SMC coverage. This study assessed the patterns of these infections in household members living around children under SMC coverage in Nanoro, Burkina Faso.

methodsA cross-sectional survey nested to a large SMC study named "SMC_RST" was conducted during the 2022 SMC campaign in Nanoro, including 745 participants. Sub-patent infections were defined as varATS qPCR-positive/RDT-negative, and patent infections as positive by both methods. Prevalence of patent and sub-patent malaria infections were presented with 95% confidence intervals (CI), accounting for clustering of individuals within households. Multinomial regression with robust standard errors assessed the effect of age, sex, and locations on risk of malaria infection.

resultsOut of 745 participants, diagnostic results regarding malaria status were available for 650 (87.2%). Plasmodium falciparum infections in household members were detected in 68.6% (446/650, 95% CI: 64.7-72.5), including 27.4% (178/650, 95% CI: 23.9-30.8) patent and 41.2% (268/650, 95% CI: 37.3-45.2) sub-patent infections. Patent infections declined with age: 37.7%, (95% CI: 31.9-43.5) among 5-14 years, 25% (95% CI: 17.0-33.0) among 15-24 years, and 17.1% (95% CI: 12.6-21.5) among ≥ 25 years. Prevalence of sub-patent infection was 38.0% (95% CI: 32.4-43.7) among 5-14 years, 49.2% (95% CI:40.3-58.1) among 15-24 years and 40.7% (95% CI: 34.5-46.8) among ≥ 25 years. No significant difference across villages was observed in terms of prevalence of household members with patent (χ

conclusionOver two-thirds of the household members living with children under SMC coverage area in Nanoro, Burkina Faso, harboured patent and sub-patent P. falciparum infection. Among those aged 15 years and older, asymptomatic carriage was largely sub-patent. This study supports the extension of the SMC intervention to school-aged children and the implementation of interventions such as testing and treatment of household members of children under SMC coverage.

Indexed as

AntimalarialsCarrier StateChemopreventionMalaria, FalciparumPlasmodium falciparumAdolescentAdultBurkina FasoChildChild, PreschoolCross-Sectional StudiesFamily CharacteristicsFemaleHumansInfantInfant, NewbornAntimalarialsBurkina Faso.MalariaSeasonal malaria chemopreventionSub-patent infectionvarATS qPCR

Identifiers

PMID40890777
PMCPMC12400762

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