Plasmodium falciparum gametocyte sex ratios in children with acute, symptomatic, uncomplicated infections treated with amodiaquine
2008

Effects of Amodiaquine on Malaria Gametocyte Sex Ratios in Children

Sample size: 612 publication Evidence: moderate

Author Information

Author(s): Sowunmi Akintunde, Balogun Sulayman T, Gbotosho Grace O, Happi Christian T

Primary Institution: University of Ibadan, Ibadan, Nigeria

Hypothesis

What are the effects of amodiaquine on gametocyte production and sex ratio in children with uncomplicated malaria?

Conclusion

Amodiaquine may significantly increase gametocyte carriage, density, and sex ratio, potentially influencing malaria transmission.

Supporting Evidence

  • Clinical recovery occurred in all children treated with amodiaquine.
  • Gametocyte densities were significantly higher by days 3–7 following treatment.
  • The mean gametocyte sex ratio increased significantly during follow-up.

Takeaway

This study found that a medicine called amodiaquine can change the number of male and female malaria parasites in kids, which might affect how the disease spreads.

Methodology

Children with uncomplicated malaria were treated with amodiaquine, and their gametocyte sex ratios were measured before and after treatment over a follow-up period.

Potential Biases

Potential bias due to the exclusion of patients who vomited the medication.

Limitations

Only gametocytaemia ≥ 10/μL were sexed, and other potential predictors of sex ratio were not evaluated.

Participant Demographics

Children aged ≤ 12 years, with a mean age of 6.5 years, including 294 males and 318 females.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1475-2875-7-169

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