High proportions of asymptomatic and submicroscopic Plasmodium vivax infections in a peri-urban area of low transmission in the Brazilian Amazon

Autor: Anne C. G. Almeida, Andrea Kuehn, Arthur J. M. Castro, Sheila Vitor-Silva, Erick F. G. Figueiredo, Larissa W. Brasil, Marcelo A. M. Brito, Vanderson S. Sampaio, Quique Bassat, Ingrid Felger, Wanderli P. Tadei, Wuelton M. Monteiro, Ivo Mueller, Marcus V. G. Lacerda
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Parasites & Vectors, Vol 11, Iss 1, Pp 1-13 (2018)
Druh dokumentu: article
ISSN: 1756-3305
DOI: 10.1186/s13071-018-2787-7
Popis: Abstract Background Population-based studies conducted in Latin America have shown a high proportion of asymptomatic and submicroscopic malarial infections. Considering efforts aiming at regional elimination, it is important to investigate the role of this asymptomatic reservoir in malaria transmission in peri-urban areas. This study aimed to estimate the prevalence of Plasmodium spp. and gametocyte burden on symptomatic and asymptomatic infections in the Brazilian Amazon. Results Two cross-sectional household surveys (CS) were conducted including all inhabitants in a peri-urban area of Manaus, western Amazonas State, Brazil. Malaria parasites were detected by light microscopy (LM) and qPCR. Sexual stages of Plasmodium spp. were detected by LM and RT-qPCR. A total of 4083 participants were enrolled during the two surveys. In CS1, the prevalence of Plasmodium vivax infections was 4.3% (86/2010) by qPCR and 1.6% (32/2010) by LM. Fifty percent (43/86) of P. vivax infected individuals (qPCR) carried P. vivax gametocytes. In CS2, 3.4% (70/2073) of participants had qPCR-detectable P. vivax infections, of which 42.9% (30/70) of infections were gametocyte positive. The P. vivax parasite density was associated with gametocyte carriage (P
Databáze: Directory of Open Access Journals