Author:
Mbama Ntabi Jacques Dollon,Lissom Abel,Djontu Jean Claude,Diafouka-Kietela Steve,Vouvoungui Christevy,Boumpoutou Reauchelvy Kamal,Mayela Jolivet,Nguiffo-Nguete Daniel,Nkemngo Francis Nongley,Ndo Cyrille,Akoton Romaric,Agonhossou Romuald,Lenga Arsène,Boussougou-Sambe Stravensky Terence,Djogbénou Luc,Wondji Charles,Adegnika Ayola Akim,Borrmann Steffen,Ntoumi Francine
Abstract
Abstract
Background
Although Plasmodium falciparum infection is largely documented and this parasite is the main target for malaria eradication, other Plasmodium species persist, and these require more attention in Africa. Information on the epidemiological situation of non-P. falciparum species infections is scarce in many countries, including in the Democratic Republic of the Congo (hereafter Republic of the Congo) where malaria is highly endemic. The aim of this study was to determine the prevalence and distribution of non-P. falciparum species infections in the region south of Brazzaville.
Methods
A cross-sectional survey was conducted in volunteers living in rural and urban settings during the dry and rainy seasons in 2021. Socio-demographic and clinical parameters were recorded. Plasmodium infection in blood samples was detected by microscopic analysis and nested PCR (sub-microscopic analysis).
Results
Of the 773 participants enrolled in the study, 93.7% were from the rural area, of whom 97% were afebrile. The prevalence of microscopic and sub-microscopic Plasmodium spp. infection was 31.2% and 63.7%, respectively. Microscopic Plasmodium malariae infection was found in 1.3% of participants, while sub-microscopic studies detected a prevalence of 14.9% for P. malariae and 5.3% for Plasmodium ovale. The rate of co-infection of P. malariae or P. ovale with P. falciparum was 8.3% and 2.6%, respectively. Higher rates of sub-microscopic infection were reported for the urban area without seasonal fluctuation. In contrast, non-P. falciparum species infection was more pronounced in the rural area, with the associated risk of the prevalence of sub-microscopic P. malariae infection increasing during the dry season.
Conclusion
There is a need to include non-P. falciparum species in malaria control programs, surveillance measures and eradication strategies in the Republic of the Congo.
Graphical Abstract
Funder
Fondation Merieux
DFG, German Research Foundation) grant
CANTAM
Publisher
Springer Science and Business Media LLC
Subject
Infectious Diseases,Parasitology
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