ArticleOpen forum infectious diseases2026
First TES in Djibouti: A Critical Milestone Amid Rising Regional Threats.
Article in Open forum infectious diseases, 2026. 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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Abstract
Background: Malaria control in the Horn of Africa faces growing challenges from emerging antimalarial resistance, diagnostic failures due to gene deletions, and the invasive Methods: A 28-day, single-arm TES was conducted at Arhiba Health Center in Djibouti City from 16 April 2024 to 5 May 2024, enrolling patients aged ≥6 months with uncomplicated Results: Of 88 enrolled patients, 70 completed follow-ups. The PCR-adjusted adequate clinical and parasitological response (ACPR) was 98.6% (95% CI, 96.1-100.0), with one recrudescence. Gametocytes were observed in 11.4% at baseline and persisted through day 21. HRP2-based RDT detected only 37.5% of infections compared to 100% using pLDH-based RDT, consistent with Conclusions: Artemether-lumefantrine remains effective in Djibouti; however, widespread Clinical Trials Registration: Pan African Clinical Trial Registry (PACTR202508856741773).
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