Prevalence of pfmdr1, pfcrt, pfdhfr and pfdhps mutations associated with drug resistance, in Luanda, Angola
2008

Study of Drug Resistance Mutations in Malaria in Angola

Sample size: 245 publication Evidence: moderate

Author Information

Author(s): Paula Figueiredo, Carla Benchimol, Dina Lopes, Luís Bernardino, Virgílio do Rosário, Luís Varandas, Fátima Nogueira

Primary Institution: Pediatric Hospital Dr. David Bernardino, Luanda, Angola

Hypothesis

What is the prevalence of mutations associated with drug resistance in Plasmodium falciparum in Luanda, Angola?

Conclusion

The study found a high presence of chloroquine resistance markers, while a much lower prevalence was detected for sulphadoxine/pyrimethamine markers.

Supporting Evidence

  • 93.9% of the samples had the pfcrt T76 mutation associated with chloroquine resistance.
  • 61.3% of the samples had the pfmdr1 Y86 mutation also linked to chloroquine resistance.
  • 20.6% of the samples had the pfdhfr R59 mutation associated with sulphadoxine resistance.
  • 6.3% of the samples had the pfdhps E540 mutation linked to sulphadoxine resistance.
  • 9% of the children had the quintuple mutant associated with treatment failure.

Takeaway

Researchers looked at blood samples from children with malaria in Angola to see how many had mutations that make the disease resistant to common treatments. They found many had mutations for one drug but fewer for another.

Methodology

Blood samples were collected from children with uncomplicated malaria, and mutations in specific genes were analyzed using PCR-RFLP.

Limitations

The study does not establish the predictive value of the mutations for treatment failure.

Participant Demographics

Children aged 1 to 16 years from the Pediatric Hospital Dr. David Bernardino in Luanda, Angola.

Statistical Information

P-Value

0.029

Statistical Significance

p = 0.029

Digital Object Identifier (DOI)

10.1186/1475-2875-7-236

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