Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years
Background: Malaria during pregnancy is associated with a greater risk of complications for the mother and fetus. The aim of the study is to analyze the features of imported cases of malaria in pregnant women in Europe and evaluate which factors are associated with a non-favourable outcome. Methods:...
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ftdoajarticles:oai:doaj.org/article:73006e6069a6438d8e6852698fa4715d 2024-01-14T10:05:00+01:00 Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years Federica Guida Marascia Claudia Colomba Michelle Abbott Andrea Gizzi Antonio Anastasia Luca Pipitò Antonio Cascio 2023-11-01T00:00:00Z https://doi.org/10.1016/j.tmaid.2023.102673 https://doaj.org/article/73006e6069a6438d8e6852698fa4715d EN eng Elsevier http://www.sciencedirect.com/science/article/pii/S1477893923001333 https://doaj.org/toc/1873-0442 1873-0442 doi:10.1016/j.tmaid.2023.102673 https://doaj.org/article/73006e6069a6438d8e6852698fa4715d Travel Medicine and Infectious Disease, Vol 56, Iss , Pp 102673- (2023) Plasmodium infection Gravid women Congenital Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2023 ftdoajarticles https://doi.org/10.1016/j.tmaid.2023.102673 2023-12-17T01:50:15Z Background: Malaria during pregnancy is associated with a greater risk of complications for the mother and fetus. The aim of the study is to analyze the features of imported cases of malaria in pregnant women in Europe and evaluate which factors are associated with a non-favourable outcome. Methods: A computerized search of the literature was performed combining the terms plasmod*, malaria, pregnan*, maternal, gravid, parturient, expectant, and congenital, from January 1997 to July 2023. Results: 28 articles reporting 57 cases of malaria in pregnant women immigrant in non-endemic areas were included. The patients mainly came from Sub-Saharan Africa. There were 10 asymptomatic cases, while the predominant clinical syndrome among the symptomatic women was fever associated with anaemia. The median latency period from permanence in endemic areas and diagnosis in European countries was 180 days (IQR 15–730). Pregnancy outcomes were favourable in 35 cases (61 %): all term pregnancies, no low-birth-weight newborns. There were 4 abortions; 1 child was delivered pre-term; 7 babies were reported to have a low birth weight; 10 cases of congenital malaria were documented. P. falciparum was found with a higher frequency in women with a favourable outcome, while P. vivax was, in all cases, associated with a worse prognosis. Conclusions: Diagnosis of malaria in pregnant woman in non-endemic countries may be challenging and a delay in diagnosis may lead to an adverse outcome. Screening for malaria should be performed in pregnant women from endemic areas, especially if they present anaemia or fever. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Travel Medicine and Infectious Disease 56 102673 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
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Plasmodium infection Gravid women Congenital Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Plasmodium infection Gravid women Congenital Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Federica Guida Marascia Claudia Colomba Michelle Abbott Andrea Gizzi Antonio Anastasia Luca Pipitò Antonio Cascio Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years |
topic_facet |
Plasmodium infection Gravid women Congenital Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Background: Malaria during pregnancy is associated with a greater risk of complications for the mother and fetus. The aim of the study is to analyze the features of imported cases of malaria in pregnant women in Europe and evaluate which factors are associated with a non-favourable outcome. Methods: A computerized search of the literature was performed combining the terms plasmod*, malaria, pregnan*, maternal, gravid, parturient, expectant, and congenital, from January 1997 to July 2023. Results: 28 articles reporting 57 cases of malaria in pregnant women immigrant in non-endemic areas were included. The patients mainly came from Sub-Saharan Africa. There were 10 asymptomatic cases, while the predominant clinical syndrome among the symptomatic women was fever associated with anaemia. The median latency period from permanence in endemic areas and diagnosis in European countries was 180 days (IQR 15–730). Pregnancy outcomes were favourable in 35 cases (61 %): all term pregnancies, no low-birth-weight newborns. There were 4 abortions; 1 child was delivered pre-term; 7 babies were reported to have a low birth weight; 10 cases of congenital malaria were documented. P. falciparum was found with a higher frequency in women with a favourable outcome, while P. vivax was, in all cases, associated with a worse prognosis. Conclusions: Diagnosis of malaria in pregnant woman in non-endemic countries may be challenging and a delay in diagnosis may lead to an adverse outcome. Screening for malaria should be performed in pregnant women from endemic areas, especially if they present anaemia or fever. |
format |
Article in Journal/Newspaper |
author |
Federica Guida Marascia Claudia Colomba Michelle Abbott Andrea Gizzi Antonio Anastasia Luca Pipitò Antonio Cascio |
author_facet |
Federica Guida Marascia Claudia Colomba Michelle Abbott Andrea Gizzi Antonio Anastasia Luca Pipitò Antonio Cascio |
author_sort |
Federica Guida Marascia |
title |
Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years |
title_short |
Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years |
title_full |
Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years |
title_fullStr |
Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years |
title_full_unstemmed |
Imported malaria in pregnancy in Europe: A systematic review of the literature of the last 25 years |
title_sort |
imported malaria in pregnancy in europe: a systematic review of the literature of the last 25 years |
publisher |
Elsevier |
publishDate |
2023 |
url |
https://doi.org/10.1016/j.tmaid.2023.102673 https://doaj.org/article/73006e6069a6438d8e6852698fa4715d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Travel Medicine and Infectious Disease, Vol 56, Iss , Pp 102673- (2023) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S1477893923001333 https://doaj.org/toc/1873-0442 1873-0442 doi:10.1016/j.tmaid.2023.102673 https://doaj.org/article/73006e6069a6438d8e6852698fa4715d |
op_doi |
https://doi.org/10.1016/j.tmaid.2023.102673 |
container_title |
Travel Medicine and Infectious Disease |
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56 |
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102673 |
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1788059424364953600 |