Bulletin of the World Health Organization

Monitoring antimalarial drug resistance in India via sentinel sites: outcomes and risk factors for treatment failure, 2009–2010

Neelima Mishra, Jai Prakash Narayan Singh, Bina Srivastava, Usha Arora, Naman K Shah, SK Ghosh, RM Bhatt, SK Sharma, MK Das, Ashwani Kumar, Anupkumar R Anvikar, Kamlesh Kaitholia, Ruchi Gupta, GS Sonal, AC Dhariwal & Neena Valecha

Volume 90, Number 12, December 2012, 895-904

Table 1. Characteristics of malaria patients enrolled in studies conducted under India’s National Antimalarial Drug Resistance Monitoring System, 2009–2010

Characteristic No. (%) of patients infected
Plasmodium falciparum Plasmodium vivax
Area
Central 829 (57.0) 0
Western 391 (26.9) 55 (26.2)
North-eastern 234 (16.1) 0
Southern 0 155 (73.8)
Season
Monsoon 415 (28.5) 115 (54.8)
Post-monsoon 645 (44.4) 95 (45.2)
Winter 394 (27.1) 0
Sex
Male 835 (57.4) 172 (81.9)
Female 619 (42.6) 38 (18.1)
Age (years)
< 1 2 (0.1) 0
1–4 120 (8.3) 2 (1.0)
5–9 290 (19.9) 14 (6.7)
10–14 252 (17.3) 18 (8.6)
15–49 689 (47.4) 154 (73.3)
≥ 50 101 (7.0) 22 (10.4)
Parasitaemia (asexual parasites/μl)a
< 1 000 14 (1.0) 10 (4.8)
1000–4999 548 (37.7) 69 (32.9)
5000–9999 251 (17.3) 42 (20.0)
10 000–49 999 526 (36.2) 83 (39.5)
≥ 50 000 115 (7.8) 6 (2.8)
Febrile (≥ 37.5 °C)
No 451 (31.0) 63 (30.1)
Yes 1003 (69.0) 146 (69.9)
History of fever
No 31 (2.1) 4 (1.9)
Yes 1423 (97.9) 206 (98.1)
Previous antimalarial drug intakeb
No 1428 (98.2) 207 (98.6)
Yes 9 (0.6) 0 (0.0)
Unknown 17 (1.2) 3 (1.4)

a At enrolment, before treatment.

b No data were available for 25 patients enrolled at one sentinel site.