Source:http://linkedlifedata.com/resource/pubmed/id/12749492
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4 Suppl
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pubmed:dateCreated |
2003-5-16
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pubmed:abstractText |
Information on the impact of insecticide (permethrin)-treated bed nets (ITNs) from randomized controlled trials in areas of intense perennial malaria transmission is limited. As part of a large-scale, community-based, group-randomized controlled trial of the effect of ITNs on childhood mortality in a holoendemic area in western Kenya, we conducted three cross-sectional surveys in 60 villages to assess the impact of ITNs on morbidity in 1,890 children less than three years old. Children in ITN and control villages were comparable pre-intervention, but after the introduction of ITNs, children in intervention villages were less likely to have recently experienced illness requiring treatment (protective efficacy [95% confidence intervals] = 15% [1-26%]), have an enlarged spleen (32% [20-43%]), be parasitemic (19% [11-27%]), have clinical malaria (44% [6-66%]), have moderately severe anemia (hemoglobin level < 7.0 g/dL; 39% [18-54%]), or have a pruritic body rash, presumably from reduced nuisance insect bites (38% [24-50%]). Use of ITNs was also associated with significantly higher mean weight-for-age Z-scores and mid-upper arm circumferences. There was no evidence, however, that ITNs reduced the risk of helminth infections, diarrhea, or upper or lower respiratory tract infections. The ITNs substantially reduced malaria-associated morbidity and improved weight gain in young children in this area of intense perennial malaria transmission.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0002-9637
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pubmed:author |
pubmed-author:FriedmanJennifer FJF,
pubmed-author:HawleyWilliam AWA,
pubmed-author:KariukiSimon KSK,
pubmed-author:KolczakMargarette SMS,
pubmed-author:KwenaArthur MAM,
pubmed-author:NahlenBernard LBL,
pubmed-author:Phillips-HowardPenelope APA,
pubmed-author:ShiYa PingYP,
pubmed-author:TerlouwDianne JDJ,
pubmed-author:VululeJohn MJM,
pubmed-author:ter KuileFeiko OFO
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pubmed:issnType |
Print
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
100-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:12749492-Bedding and Linens,
pubmed-meshheading:12749492-Child, Preschool,
pubmed-meshheading:12749492-Cross-Sectional Studies,
pubmed-meshheading:12749492-Female,
pubmed-meshheading:12749492-Health Status,
pubmed-meshheading:12749492-Health Surveys,
pubmed-meshheading:12749492-Humans,
pubmed-meshheading:12749492-Infant,
pubmed-meshheading:12749492-Insecticides,
pubmed-meshheading:12749492-Kenya,
pubmed-meshheading:12749492-Malaria,
pubmed-meshheading:12749492-Male,
pubmed-meshheading:12749492-Medical History Taking,
pubmed-meshheading:12749492-Morbidity,
pubmed-meshheading:12749492-Permethrin
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pubmed:year |
2003
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pubmed:articleTitle |
Impact of permethrin-treated bed nets on malaria and all-cause morbidity in young children in an area of intense perennial malaria transmission in western Kenya: cross-sectional survey.
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pubmed:affiliation |
Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, Non-P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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