Plasmodium vivax and Mixed Infections Are Associated with Severe Malaria in Children: A Prospective Cohort Study from Papua New Guinea
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{"title"=>"Plasmodium vivax and mixed infections are associated with severe malaria in children: A prospective cohort study from Papua New Guinea", "type"=>"journal", "authors"=>[{"first_name"=>"Blaise", "last_name"=>"Genton", "scopus_author_id"=>"35501901200"}, {"first_name"=>"Valérie", "last_name"=>"D'Acremont", "scopus_author_id"=>"6602807740"}, {"first_name"=>"Lawrence", "last_name"=>"Rare", "scopus_author_id"=>"6506945880"}, {"first_name"=>"Kay", "last_name"=>"Baea", "scopus_author_id"=>"6507552831"}, {"first_name"=>"John C.", "last_name"=>"Reeder", "scopus_author_id"=>"55209842700"}, {"first_name"=>"Michael P.", "last_name"=>"Alpers", "scopus_author_id"=>"7103229300"}, {"first_name"=>"Ivo", "last_name"=>"Müller", "scopus_author_id"=>"15768092000"}], "year"=>2008, "source"=>"PLoS Medicine", "identifiers"=>{"sgr"=>"46349109749", "pmid"=>"18563961", "isbn"=>"10.1371/journal.pmed.0050127", "pui"=>"351919109", "issn"=>"15491277", "scopus"=>"2-s2.0-46349109749", "doi"=>"10.1371/journal.pmed.0050127"}, "id"=>"3abb2e94-90cf-3dc3-8615-fbd4a405357e", "abstract"=>"BACKGROUND: Severe malaria (SM) is classically associated with Plasmodium falciparum infection. Little information is available on the contribution of P. vivax to severe disease. There are some epidemiological indications that P. vivax or mixed infections protect against complications and deaths. A large morbidity surveillance conducted in an area where the four species coexist allowed us to estimate rates of SM among patients infected with one or several species.\\n\\nMETHODS AND FINDINGS: This was a prospective cohort study conducted within the framework of the Malaria Vaccine Epidemiology and Evaluation Project. All presumptive malaria cases presenting at two rural health facilities over an 8-y period were investigated with history taking, clinical examination, and laboratory assessment. Case definition of SM was based on the World Health Organization (WHO) criteria adapted for the setting (i.e., clinical diagnosis of malaria associated with asexual blood stage parasitaemia and recent history of fits, or coma, or respiratory distress, or anaemia [haemoglobin < 5 g/dl]). Out of 17,201 presumptive malaria cases, 9,537 (55%) had a confirmed Plasmodium parasitaemia. Among those, 6.2% (95% confidence interval [CI] 5.7%-6.8%) fulfilled the case definition of SM, most of them in children <5 y. In this age group, the proportion of SM was 11.7% (10.4%-13.2%) for P. falciparum, 8.8% (7.1%-10.7%) for P. vivax, and 17.3% (11.7%-24.2%) for mixed P. falciparum and P. vivax infections. P. vivax SM presented more often with respiratory distress than did P. falciparum (60% versus 41%, p = 0.002), but less often with anaemia (19% versus 41%, p = 0.0001).\\n\\nCONCLUSION: P. vivax monoinfections as well as mixed Plasmodium infections are associated with SM. There is no indication that mixed infections protected against SM. Interventions targeted toward P. falciparum only might be insufficient to eliminate the overall malaria burden, and especially severe disease, in areas where P. falciparum and P. vivax coexist.", "link"=>"http://www.mendeley.com/research/plasmodium-vivax-mixed-infections-associated-severe-malaria-children-prospective-cohort-study-papua-11", "reader_count"=>103, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>28, "Student > Doctoral Student"=>7, "Student > Ph. D. Student"=>23, "Student > Postgraduate"=>7, "Student > Master"=>15, "Other"=>2, "Student > Bachelor"=>10, "Lecturer"=>3, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>28, "Student > Doctoral Student"=>7, "Student > Ph. D. Student"=>23, "Student > Postgraduate"=>7, "Student > Master"=>15, "Other"=>2, "Student > Bachelor"=>10, "Lecturer"=>3, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Agricultural and Biological Sciences"=>38, "Arts and Humanities"=>1, "Chemistry"=>2, "Computer Science"=>1, "Environmental Science"=>2, "Biochemistry, Genetics and Molecular Biology"=>6, "Nursing and Health Professions"=>2, "Mathematics"=>2, "Medicine and Dentistry"=>37, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Social Sciences"=>4, "Immunology and Microbiology"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>37}, "Social Sciences"=>{"Social Sciences"=>4}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>3}, "Environmental Science"=>{"Environmental Science"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Chemistry"=>{"Chemistry"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>38}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>6}}, "reader_count_by_country"=>{"Colombia"=>1, "Belgium"=>1, "Brazil"=>4, "Kenya"=>1, "Peru"=>1}, "group_count"=>4}

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  • {"month"=>"1", "year"=>"2019", "pdf_views"=>"25", "xml_views"=>"0", "html_views"=>"33"}
  • {"month"=>"2", "year"=>"2019", "pdf_views"=>"8", "xml_views"=>"0", "html_views"=>"21"}
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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/929011"], "description"=>"<p>Proportion of SM Cases with Each of the Main Defining Clinical or Laboratory Features among Children <5 y Infected with P. vivax, P. falciparum, and Mixed Species (Venn Diagram)</p>", "links"=>[], "tags"=>["sm", "cases", "children", "infected"], "article_id"=>599451, "categories"=>["Infectious Diseases"], "users"=>["Blaise Genton", "Valérie D'Acremont", "Lawrence Rare", "Kay Baea", "John C Reeder", "Michael P Alpers", "Ivo Müller"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0050127.g004", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Proportion_of_SM_Cases_with_Each_of_the_Main_Defining_Clinical_or_Laboratory_Features_among_Children_P_vivax_P_falciparum_and_Mixed_Species_Venn_Diagram_/599451", "title"=>"Proportion of SM Cases with Each of the Main Defining Clinical or Laboratory Features among Children <5 y Infected with P. vivax, P. falciparum, and Mixed Species (Venn Diagram)", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:13:22"}
  • {"files"=>["https://ndownloader.figshare.com/files/928735"], "description"=>"<p>Age-Specific Risk of Severe Disease with P. falciparum, P. vivax, and Mixed Infections in Children <10 y</p>", "links"=>[], "tags"=>["infections", "children"], "article_id"=>599180, "categories"=>["Infectious Diseases"], "users"=>["Blaise Genton", "Valérie D'Acremont", "Lawrence Rare", "Kay Baea", "John C Reeder", "Michael P Alpers", "Ivo Müller"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0050127.g002", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_Specific_Risk_of_Severe_Disease_with_P_falciparum_P_vivax_and_Mixed_Infections_in_Children_lt_10_y_/599180", "title"=>"Age-Specific Risk of Severe Disease with P. falciparum, P. vivax, and Mixed Infections in Children <10 y", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:11:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/929161"], "description"=>"<p>Line is median, boxes are 25th and 75th percentile, and whiskers are upper and lower adjacent values.</p>", "links"=>[], "tags"=>["parasite", "densities", "uncomplicated", "sm"], "article_id"=>599598, "categories"=>["Infectious Diseases"], "users"=>["Blaise Genton", "Valérie D'Acremont", "Lawrence Rare", "Kay Baea", "John C Reeder", "Michael P Alpers", "Ivo Müller"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0050127.g005", "stats"=>{"downloads"=>3, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Total_Parasite_Densities_in_Uncomplicated_and_SM_by_Species_Children_lt_5_y_/599598", "title"=>"Total Parasite Densities in Uncomplicated and SM by Species (Children <5 y)", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:14:13"}
  • {"files"=>["https://ndownloader.figshare.com/files/928878"], "description"=>"<p>Horizontal, species; vertical, proportion of SM.</p>", "links"=>[], "tags"=>["sm", "children"], "article_id"=>599326, "categories"=>["Infectious Diseases"], "users"=>["Blaise Genton", "Valérie D'Acremont", "Lawrence Rare", "Kay Baea", "John C Reeder", "Michael P Alpers", "Ivo Müller"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0050127.g003", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mosaic_Plot_of_SM_by_Species_in_Children_lt_5_y_/599326", "title"=>"Mosaic Plot of SM by Species in Children < 5 y", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:12:45"}

PMC Usage Stats | Further Information

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  • {"month"=>"3", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"31", "year"=>"2009", "pdf"=>"22", "unique-ip"=>"40", "figure"=>"6", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"4", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"32", "unique-ip"=>"37", "pdf"=>"24", "year"=>"2009", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
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  • {"scanned-page-browse"=>"0", "month"=>"6", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"37", "unique-ip"=>"37", "pdf"=>"26", "year"=>"2009", "figure"=>"1", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"month"=>"7", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"23", "year"=>"2009", "pdf"=>"7", "unique-ip"=>"23", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"8", "cited-by"=>"0", "abstract"=>"5", "full-text"=>"31", "unique-ip"=>"42", "pdf"=>"31", "year"=>"2009", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
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  • {"scanned-page-browse"=>"0", "month"=>"10", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"9", "unique-ip"=>"19", "pdf"=>"20", "year"=>"2009", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
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  • {"unique-ip"=>"20", "full-text"=>"18", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"23", "full-text"=>"24", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"18", "full-text"=>"25", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}
  • {"unique-ip"=>"23", "full-text"=>"23", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"10"}

Relative Metric

{"start_date"=>"2008-01-01T00:00:00Z", "end_date"=>"2008-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[324, 674, 863, 1015, 1146, 1259, 1360, 1452, 1540, 1621, 1704, 1776, 1843, 1905, 1968, 2029, 2097, 2162, 2233, 2289, 2352, 2412, 2476, 2538, 2601, 2655, 2714, 2777, 2841, 2894, 2946, 2998, 3047, 3103, 3151, 3201, 3258, 3317, 3369, 3424, 3471, 3521, 3583, 3625, 3687, 3743, 3788, 3838, 3896, 3953, 4015, 4075, 4148, 4201, 4275, 4347, 4420, 4486, 4535, 4592, 4660, 4731, 4792, 4845, 4901, 4971, 5027, 5089, 5148, 5200, 5261, 5318, 5374]}, {"subject_area"=>"/Biology and life sciences/Parasitology", "average_usage"=>[288, 655, 866, 1014, 1118, 1203, 1271, 1342, 1474, 1554, 1605, 1671, 1728, 1801, 1862, 1925, 1998, 2049, 2099, 2155, 2198, 2234, 2288, 2333, 2363, 2434, 2493, 2539, 2590, 2641, 2686, 2733, 2775, 2820, 2851, 2887, 2926, 2959, 3009, 3050, 3102, 3158, 3227, 3282, 3326, 3357, 3434, 3473, 3526, 3567, 3603, 3685, 3741, 3837, 3914, 3980, 4038, 4130, 4183, 4240, 4301, 4368, 4458, 4528, 4572, 4649, 4705, 4786, 4869, 4949, 5016, 5081, 5158]}, {"subject_area"=>"/Medicine and health sciences/Diagnostic medicine", "average_usage"=>[301, 641, 853, 1045, 1173, 1302, 1416, 1511, 1608, 1708, 1814, 1892, 1956, 2015, 2121, 2200, 2284, 2369, 2436, 2469, 2540, 2602, 2707, 2768, 2834, 2877, 2920, 2975, 3088, 3141, 3190, 3247, 3309, 3360, 3411, 3491, 3562, 3616, 3653, 3699, 3743, 3819, 3868, 3901, 3967, 4018, 4070, 4120, 4170, 4223, 4280, 4322, 4366, 4436, 4480, 4530, 4593, 4643, 4690, 4771, 4845, 4907, 4998, 5071, 5136, 5207, 5277, 5332, 5382, 5418, 5473, 5520, 5552]}, {"subject_area"=>"/Medicine and health sciences/Parasitic diseases", "average_usage"=>[306, 672, 856, 996, 1089, 1178, 1276, 1388, 1484, 1598, 1658, 1742, 1804, 1882, 1923, 1967, 2032, 2098, 2147, 2199, 2242, 2290, 2339, 2374, 2434, 2487, 2556, 2605, 2645, 2688, 2726, 2761, 2808, 2845, 2905, 2945, 2992, 3034, 3094, 3146, 3199, 3244, 3295, 3343, 3391, 3437, 3483, 3545, 3609, 3669, 3734, 3798, 3854, 3914, 3952, 3991, 4046, 4130, 4192, 4261, 4316, 4388, 4446, 4492, 4540, 4616, 4682, 4750, 4799, 4848, 4943, 5014, 5043]}, {"subject_area"=>"/Medicine and health sciences/Pulmonology", "average_usage"=>[337, 856, 989, 1119, 1294, 1423, 1493, 1568, 1679, 1784, 1995, 2077, 2139, 2183, 2225, 2255, 2296, 2349, 2391, 2431, 2466, 2500, 2515, 2552, 2616, 2651, 2694, 2766, 2821, 2887, 2933, 2994, 3029, 3079, 3133, 3188, 3248, 3322, 3375, 3449, 3503, 3575, 3652, 3736, 3812, 3901, 3987, 4088, 4188, 4268, 4366, 4652, 4704, 4760, 4793, 4841, 4893, 4924, 4966, 5007, 5049, 5095, 5122, 5162, 5219, 5240, 5282, 5328, 5354, 5381, 5418, 5471, 5531, 5570]}]}
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