Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia

Background As Indonesia works towards the goal of malaria elimination, information is lacking on malaria epidemiology from some western provinces. As a basis for studies of antimalarial efficacy, we set out to survey parasite carriage in three communities in North Sumatera Province. Methods A...

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Main Authors: Inke, ND Lubis, Hendri, Wijaya, Munar, Lubis, Chairuddin P, Lubis, Paul Cliff, Simon Divis, Khalid, B Beshir, Sutherland, Colin J
Format: Article
Language:English
Published: Oxford University Press 2017
Subjects:
Online Access:http://ir.unimas.my/id/eprint/16221/
http://ir.unimas.my/id/eprint/16221/1/Contribution%20of%20Plasmodium%20knowlesi%20to%20multi-species%20%28abstract%29.pdf
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author Inke, ND Lubis
Hendri, Wijaya
Munar, Lubis
Chairuddin P, Lubis
Paul Cliff, Simon Divis
Khalid, B Beshir
Sutherland, Colin J
author_facet Inke, ND Lubis
Hendri, Wijaya
Munar, Lubis
Chairuddin P, Lubis
Paul Cliff, Simon Divis
Khalid, B Beshir
Sutherland, Colin J
author_sort Inke, ND Lubis
building UNIMAS Institutional Repository
collection Online Access
description Background As Indonesia works towards the goal of malaria elimination, information is lacking on malaria epidemiology from some western provinces. As a basis for studies of antimalarial efficacy, we set out to survey parasite carriage in three communities in North Sumatera Province. Methods A combination of active and passive detection of infection was carried out among communities in Batubara, Langkat and South Nias regencies. Finger-prick blood samples from consenting individuals of all ages provided blood films for microscopic examination and blood spots on filter paper. Plasmodium species were identified by nested PCR of rRNA genes, and a novel assay which amplifies a conserved sequence specific for the sicavar gene family of P. knowlesi. Results 614 of 3,731 participants (16.5%) were positive for malaria parasites by microscopy. PCR detected parasite DNA in samples from 1,169 individuals (31.3%). In total, 377 participants (11.8%) harboured P. knowlesi. Also present were P. vivax (14.3%), P. falciparum (10.5%) and P. malariae (3.4%). Conclusions Amplification of sicavar is a specific and sensitive test for the presence of P. knowlesi DNA in humans. Subpatent and asymptomatic multi-species parasitaemia is relatively common in North Sumatera, and so PCR-based surveillance is required to support control and elimination activities.
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spelling unimas-162212017-05-25T00:41:39Z http://ir.unimas.my/id/eprint/16221/ Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia Inke, ND Lubis Hendri, Wijaya Munar, Lubis Chairuddin P, Lubis Paul Cliff, Simon Divis Khalid, B Beshir Sutherland, Colin J R Medicine (General) Background As Indonesia works towards the goal of malaria elimination, information is lacking on malaria epidemiology from some western provinces. As a basis for studies of antimalarial efficacy, we set out to survey parasite carriage in three communities in North Sumatera Province. Methods A combination of active and passive detection of infection was carried out among communities in Batubara, Langkat and South Nias regencies. Finger-prick blood samples from consenting individuals of all ages provided blood films for microscopic examination and blood spots on filter paper. Plasmodium species were identified by nested PCR of rRNA genes, and a novel assay which amplifies a conserved sequence specific for the sicavar gene family of P. knowlesi. Results 614 of 3,731 participants (16.5%) were positive for malaria parasites by microscopy. PCR detected parasite DNA in samples from 1,169 individuals (31.3%). In total, 377 participants (11.8%) harboured P. knowlesi. Also present were P. vivax (14.3%), P. falciparum (10.5%) and P. malariae (3.4%). Conclusions Amplification of sicavar is a specific and sensitive test for the presence of P. knowlesi DNA in humans. Subpatent and asymptomatic multi-species parasitaemia is relatively common in North Sumatera, and so PCR-based surveillance is required to support control and elimination activities. Oxford University Press 2017 Article PeerReviewed text en http://ir.unimas.my/id/eprint/16221/1/Contribution%20of%20Plasmodium%20knowlesi%20to%20multi-species%20%28abstract%29.pdf Inke, ND Lubis and Hendri, Wijaya and Munar, Lubis and Chairuddin P, Lubis and Paul Cliff, Simon Divis and Khalid, B Beshir and Sutherland, Colin J (2017) Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia. The Journal of Infectious Diseases. ISSN 1537-6613 https://www.researchgate.net/publication/313777791 DOI: 10.1093/infdis/jix091
spellingShingle R Medicine (General)
Inke, ND Lubis
Hendri, Wijaya
Munar, Lubis
Chairuddin P, Lubis
Paul Cliff, Simon Divis
Khalid, B Beshir
Sutherland, Colin J
Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia
title Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia
title_full Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia
title_fullStr Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia
title_full_unstemmed Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia
title_short Contribution of Plasmodium knowlesi to multi-species human malaria infections in North Sumatera, Indonesia
title_sort contribution of plasmodium knowlesi to multi-species human malaria infections in north sumatera, indonesia
topic R Medicine (General)
url http://ir.unimas.my/id/eprint/16221/
http://ir.unimas.my/id/eprint/16221/
http://ir.unimas.my/id/eprint/16221/
http://ir.unimas.my/id/eprint/16221/1/Contribution%20of%20Plasmodium%20knowlesi%20to%20multi-species%20%28abstract%29.pdf