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Age-group associations of schistosomiasis prevalence from trial data, Côte d'Ivoire, Kenya and the United Republic of Tanzania
Wiegand, Ryan E; Odiere, Maurice R; Kinung'hi, Safari; N'Goran, Eliézer K; Mwinzi, Pauline; Secor, W Evan.
Afiliação
  • Wiegand, Ryan E; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H24-5, Atlanta, Georgia, GA, 30329, United States of America. Georgia. US
  • Odiere, Maurice R; Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya. Kisumu. KE
  • Kinung'hi, Safari; National Institute for Medical Research, Mwanza Centre, Mwanza, United Republic of Tanzania. Mwanza. TZ
  • N'Goran, Eliézer K; Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire. Abidjan. CI
  • Mwinzi, Pauline; Expanded Special Programme for Elimination of Neglected Tropical Diseases, World Health Organization Regional Office for Africa, Brazzaville, Congo. Brazzaville. CG
  • Secor, W Evan; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H24-5, Atlanta, Georgia, GA, 30329, United States of America. Georgia. US
Bull. W.H.O. (Print) ; 102(4): 265-274, 2024. figures, tables
Article em En | AIM, SES-SP | ID: biblio-1538331
Biblioteca responsável: CG1.1
ABSTRACT
Objective To determine if the prevalence of schistosomiasis in children aged 9­12 years is associated with the prevalence in 5­8-year-olds and adults after preventive chemotherapy in schools or the community. Methods We combined data from four community-randomized, preventive chemotherapy trials in treatment-naïve populations in Côte d'Ivoire, Kenya and the United Republic of Tanzania during 2010­2016 according to the number of praziquantel treatments and the delivery method. Schistosoma mansoni infection was sought on two slides prepared from each participant's first stool using the Kato­Katz technique. We assessed associations between S. mansoni prevalence in 9­12-year-olds and 5­8-year-olds and adults in the community before and after treatment using Bayesian regression models. Findings Stool samples from 47 985 5­8-year-olds, 81 077 9­12-year-olds and 20 492 adults were analysed. We found associations between the prevalence in 9­12-year-olds and that in 5­8-year-olds and adults after preventive treatment, even when only school-age children were treated. When the prevalence in 9­12-year-olds was under 10%, the prevalence in 5­8-year-olds was consistently under 10%. When the prevalence in 9­12-year-olds was under 50%, the prevalence in adults after two or four rounds of preventive chemotherapy was 10%­15% lower than before chemotherapy. Post-chemotherapy age-group associations were consistent with pre-chemotherapy associations in this analysis and previous studies. Conclusion The prevalence of S. mansoni infection in 9­12-year-olds was associated with the prevalence in other age groups and could be used to guide community treatment decisions.
Assuntos

Texto completo: 1 Coleções: 06-national / BR Base de dados: AIM / SES-SP Assunto principal: Tanzânia / Tratamento Farmacológico / Quênia País/Região como assunto: Africa Idioma: En Revista: Bull. W.H.O. (Print) Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 06-national / BR Base de dados: AIM / SES-SP Assunto principal: Tanzânia / Tratamento Farmacológico / Quênia País/Região como assunto: Africa Idioma: En Revista: Bull. W.H.O. (Print) Ano de publicação: 2024 Tipo de documento: Article