Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1995-11-3
pubmed:abstractText
To facilitate design of vaccine trials, malaria was studied in 6-month- to 6-year-old Kenyans during high (HI) and low intensity transmission seasons. During 84 days after cure, exposure to infected mosquitoes was 9-fold greater in the HI group, yet incidence of P. falciparum infection was increased only 2-fold, with no age effect. The density of recurrent P. falciparum was 14-fold greater in the HI group, and there was a striking association between age and parasitemia > or = 5000/microL. Fever was the only clinical manifestation attributable to parasitemia and only when the parasite density was > or = 5000/microL. Sixty-four percent of children with > or = 20,000 parasites/microL versus 10% with 1-4999/microL were febrile when parasitemic. Recurrent P. falciparum infection as a vaccine trial end point can be studied year-round among children < or = 6 years [corrected] in western Kenya. However, high-grade parasitemia (> or = 5000 or 20,000/microL) with or without elevated temperature will be optimally studied in the high transmission season among children < 2 years.
pubmed:grant
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0022-1899
pubmed:author
pubmed:issnType
Print
pubmed:volume
172
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1047-54
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:7561179-Age Factors, pubmed-meshheading:7561179-Animals, pubmed-meshheading:7561179-Anopheles, pubmed-meshheading:7561179-Antimalarials, pubmed-meshheading:7561179-Child, pubmed-meshheading:7561179-Child, Preschool, pubmed-meshheading:7561179-Clinical Trials as Topic, pubmed-meshheading:7561179-Cohort Studies, pubmed-meshheading:7561179-Disease Transmission, Infectious, pubmed-meshheading:7561179-Fever, pubmed-meshheading:7561179-Humans, pubmed-meshheading:7561179-Incidence, pubmed-meshheading:7561179-Infant, pubmed-meshheading:7561179-Insect Vectors, pubmed-meshheading:7561179-Kenya, pubmed-meshheading:7561179-Malaria, Falciparum, pubmed-meshheading:7561179-Malaria Vaccines, pubmed-meshheading:7561179-Parasitemia, pubmed-meshheading:7561179-Pyrimethamine, pubmed-meshheading:7561179-Recurrence, pubmed-meshheading:7561179-Research Design, pubmed-meshheading:7561179-Retrospective Studies, pubmed-meshheading:7561179-Rural Population, pubmed-meshheading:7561179-Seasons, pubmed-meshheading:7561179-Sulfadoxine
pubmed:year
1995
pubmed:articleTitle
Impact of transmission intensity and age on Plasmodium falciparum density and associated fever: implications for malaria vaccine trial design.
pubmed:affiliation
Malaria Program, Naval Medical Research Institute, Rockville, MD 20852, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, U.S. Gov't, Non-P.H.S.