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Table 1 Study characteristics

From: Prevalence, characteristics, and treatment outcome of congenital malaria in Nigeria: a systematic review

Author and year

Study design

Sample size

Study region (state and region)

Age of study participants (and mean age)

Gender

Prevalence

Treatment used

Treatment regimen

Clinical outcomes

Runsewe-Abiodun, I.T. et al. 2006

Retrospective descriptive study

230

Sagamu, Ogun state

1–7 days (6.7 days)

M-35, F-22

M:F—1.6:1

57 (17.4%)

Chloroquine in 50

Sulf- adoxine-Pyrimethamine (SP) in 1

6 received no treatment

42 responded to treatment and were subsequently discharged home, 4 died and 11 DAMA

Falade C. et al. 2007

Prospective, descriptive study

1875 (625 from each region)

3 Nigerian geopolitical zones (Oyo, Kwara, and kaduna states)

0–7 days

Not provided

95 (5.1%)

CQ used for babies who were symptomatic before day 3 or who had persistent parasitemia

SP used those who failed to show response to CQ by day 3

Good clinical improvement with Chloroquine in symptomatic and asymptomatic babies (88.4% parasitological cure at day 14). 4 who failed to respond to CQ achieved cure with oral SP

Obiajunwa PO. et al. 2005

Retrospective descriptive study

120

Ile-Ife, Osun State

1–7 day

M-54, F-66

56 (46.7%)

CQ given to 46 parasitaemic babies. 10 were not treated and followed up to age 6 weeks

No other regimen used

Babies treated with CQ showed good responses. 10 who were not treated had no clinical manifestations at follow-up

M. Y. Mukhtar et al. 2005

Prospective, descriptive study

104

Lagos state

1–7 days

Not provided

14 (13.4%)

No medication was administered and babies were followed up till 28 days

 

On days 3, 7, 14, and 28, only 10, 8, 7 and 1 were still parasitemic, respectively

A.A Okechukwu et al. 2011

Prospective, descriptive study

266

Abuja, FCT

5.1 ± 2.3 days

M-35, F-41

M:F-0.9:1

76 (28.6%)

All neonates with moderate and high MP density were treated with Oral Quinine

 

Good clinical outcomes noticed days after treatment

Bo Onankpa et al. 2007

Descriptive study

162

Sokoto

Aged < 8 days

M-82, F-74

M:F-1.2:1

156 (96.3%)

 

Artemether-lumefantrine

The efficacy of artemether-lumefantrine was significant in treating those with parasitemia

Anyanwu E. B. et al. 2008

Case report

3

Eku, Delta state

2–6 days

M-2, F-1

75%

1st baby–Quinine infusion

2nd and 3rd babies—Oral quinine suspension

 

The 3 babies tolerated and responded well to Quinine

Okonkwo Victor et al. 2022

Descriptive study

200

Awka, Anambra state

1–7 days (6.8 days)

M-108, F-92

M:F-1.2:1

74 (37%)

Amodiaquine and/or chloroquine

Sulfadoxine-pyrimethamine

Following treatment, significant of the babies showed good clinical response and subsequently discharged

Hyacinth HI. et al. 2012

Prospective descriptive study

41

Jos, Plateau state

1–7 days

M-12, F-12

M:F-1:1

24 (58.5%)

Amodiaquine in 20

Quinine in 3

Amodiaquine + quinine in 1

18 (75%) were discharged alive while 6 (25%) died

Diala, U.M. et al. 2017

Prospective descriptive study

301

Jos, Plateau state

0–7 days (4.4 days)

M-193, F-108

M:F-1.8:1

16 (5.3%)

Amodiaquine administered in all

Quinine was given to one

 

15 (94%) attained clinical and parasitological cure with Amodiaquine only while 1 required retreatment with quinine

A. A. Orogade 2004

Descriptive study

206

Zaria, Kaduna state

1–7 days

M-9, F-8

17 (8.25%)

All 17 were treated with CQ (Initial subcutaneous dose and followed by daily oral doses for 2 days)

 

100% fever clearance rate by end of 2nd days’ dose and 100% parasite clearance at the end of therapy

Nwaneli EI. et al. 2022

Case report

1

Anambra

5 day

M

 

Intravenous Artesunate (5 doses at 3 mg/kg)

Oral Artesunate-Amodiaquine was commenced for 3 days after the 5th of IV artesunate

Consciousness improved gradually after the commencement of IV artesunate