{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:44:55Z","timestamp":1762004695124},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study analyzed the relationship between intermittent preventive treatment with sulfadoxine-pyrimethamine (SP) (IPTp-SP), the rate of multiple resistant parasites and of submicroscopic gametocyte carriage among pregnant women at the beginning of IPTp implementation in Gabon (2005) and six years after (2011). The detection of pfdhfr and pfdhps gene mutations was performed by PCR-RFLP in Plasmodium (P.) falciparum positive samples collected from pregnant women in 2005 and 2011. Gametocytes carriage was detected by Pfs25mRNA amplification using QT-NASBA. Data were analyzed according to the time of collection (study period) and IPTp-SP doses. The proportion of isolates with at least a triple Pfdhfr mutation (n = 39\/42, 92.9% versus 100%, n = 78\/78)) and of those isolates with the S108N\/C59R\/N51I\/S436A\/A437G multiple mutation (17.9% versus 75.6%) significantly increased between 2005 and 2011 (p&lt;0.01). Mutations I164L and A581G were not found, while higher proportions of 436 and 437 mutations were detected in 2011.A trend toward a higher frequency of isolates with five mutations was observed in women who received two SP doses (p&lt;0.01). Pfs25mRNA was found in 6.8 % (n = 3\/44) and 34.6% (n = 27\/78) of the samples collected in 2005 and 2011 respectively (p&lt;0.01). In 2011, 74.0% (n = 20\/27) of women with detected submicroscopic gametocytes carried parasites with the S108N\/C59R\/N51\/S436A\/A437G multiple mutation. All the ten delivering women who received three IPTp-SP doses had a submicroscopic Plasmodium falciparum infection, but none had detected gametocytes. Following IPTp-SP implementation, an increase in the frequency of multiple mutant parasites and of submicroscopic gametocyte carriage was observed among pregnant women living in Gabon.<\/jats:p>","DOI":"10.1515\/ap-2015-0031","type":"journal-article","created":{"date-parts":[[2015,4,20]],"date-time":"2015-04-20T09:27:21Z","timestamp":1429522041000},"source":"Crossref","is-referenced-by-count":12,"title":["Frequencies of dhfr\/dhps multiple mutations and Plasmodium falciparum submicroscopic gametocyte carriage in Gabonese pregnant women following IPTp-SP implementation"],"prefix":"10.1007","volume":"60","author":[{"given":"Marielle K.","family":"Bouyou-Akotet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Louise","family":"Tshibola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise P.","family":"Mawili-Mboumba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Nzong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noemi","family":"Bahamontes-Rosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gladys","family":"Tsoumbou-Bakana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryvonne","family":"Kombila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref161","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1186\/1475-2875-12-438","article-title":"Evaluation of Plasmodium falciparum gametocyte detection in different patient material","volume":"12","author":"Kast","year":"2013","journal-title":"Malaria Journal"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1128\/CMR.00051-10","article-title":"Epidemiology and infectivity of Plasmodium falciparum and Plasmodium vivax gametocytes in relation to malaria control and elimination","volume":"24","author":"Bousema","year":"2011","journal-title":"Clinical Microbiology Review"},{"key":"ref81","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1093\/jac\/dkp467","article-title":"High prevalence of sulfadoxine \/ pyrimethamineresistant alleles of Plasmodium falciparum isolates in pregnant women at the time of introduction of intermittent preventive treatment with sulfadoxine \/ pyrimethamine in Gabon","volume":"65","author":"Bouyou","journal-title":"Journal of Antimicrobial Chemotherapy"},{"key":"ref221","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4269\/ajtmh.2006.75.381","article-title":"Polymorphism in pfcrt pfmdr dhfr genes and in vitro responses to antimalarials in Plasmodium falciparum isolates from Bangui , Central African Republic","volume":"75","author":"Menard","year":"2006","journal-title":"American Journal of Tropical Medicine and Hygiene"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.forsciint.2003.09.008","article-title":"Quantification of RNA degradation by semi - 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