Clearing asymptomatic parasitaemia increases the specificity of the definition of mild febrile malaria.

Abstract:

:In clinical trials, the specificity of the disease endpoint is critical to an accurate estimate of vaccine efficacy. We used a logistic regression model to analyse parasite densities among children before and after treatment with antimalarials, in order to estimate the impact that clearing asymptomatic parasitaemia had on the specificity of the endpoint of febrile malaria. The malaria attributable fever fraction was higher after antimalarial treatment (i.e. fever and parasitaemia were more likely to be causally related), implying that drug treatment prior to monitoring decreased the misclassification of febrile malaria. In intervention studies with febrile malaria as an endpoint, clearing asymptomatic parasitaemia increases the study's power more effectively than raising the threshold parasitaemia.

journal_name

Vaccine

journal_title

Vaccine

authors

Bejon P,Mwangi T,Lowe B,Peshu N,Hill AV,Marsh K

doi

10.1016/j.vaccine.2007.07.057

subject

Has Abstract

pub_date

2007-11-23 00:00:00

pages

8198-202

issue

48

eissn

0264-410X

issn

1873-2518

pii

S0264-410X(07)00894-8

journal_volume

25

pub_type

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