Molecular Markers of Sulfadoxine-Pyrimethamine Resistance in Samples from Children with Uncomplicated Plasmodium falciparum at Three Sites in Angola in 2019

Author:

Rosillo Stefano R.1,Dimbu Pedro Rafael2,Cândido Ana Luisa M.3,Oh Je-Hoon Michael1,Ferreira Carolina Miguel4,Nieto Andrade Benjamin4,Labuda Sarah5,Horth Roberta1,Kelley Julia1,Morais Joana F. M.3,Fortes Filomeno6,Martins José Franco2,Talundzic Eldin1,Pluciński Mateusz M.17ORCID

Affiliation:

1. Malaria Branch, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

2. National Malaria Control Program, Ministry of Health, Luanda, Angola

3. National Institute of Health Research, Ministry of Health, Luanda, Angola

4. Population Services International Angola, Luanda, Angola

5. United States President’s Malaria Initiative, U.S. Centers for Disease Control and Prevention, Luanda, Angola

6. Institute of Hygiene and Tropical Medicine, Nova University of Lisbon, Lisbon, Portugal

7. United States President’s Malaria Initiative, Malaria Branch, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Abstract

Sulfadoxine-pyrimethamine (SP) is used for prevention of malaria in pregnant women in Angola. We sequenced the Plasmodium falciparum dihydrofolate reductase ( pfdhfr ) and dihydropteroate synthase ( pfdhps ) genes, implicated in SP resistance, in samples collected during a 2019 study of artemisinin-based combination therapy efficacy in Benguela, Lunda Sul, and Zaire provinces.

Funder

USAID | President's Malaria Initiative

AMD initiative CDC

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference27 articles.

1. Plasmodium falciparum drug resistance in Angola

2. Malaria in Angola: recent progress, challenges and future opportunities using parasite demography studies

3. World Health Organization. 2013. WHO policy brief for the implementation of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP). https://www.who.int/publications/i/item/WHO-HTM-GMP-2014.4. Accessed 1 December 2021.

4. World Health Organization. 2013. Meeting report of the Evidence Review Group on intermittent preventive treatment (IPT) of malaria in pregnancy. https://www.who.int/publications/m/item/meeting-report-of-the-evidence-review-group-on-intermittent-preventive-treatment-of-malaria-in-pregnancy. Accessed 1 December 2021.

5. The DHS Program. 2016. Angola: standard DHS 2015-16. https://dhsprogram.com/methodology/survey/survey-display-477.cfm. Accessed 1 December 2021.

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