Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast

<strong>Background<br></strong> A study was conducted to examine the impact of long-lasting insecticide-treated net (LLIN) use on the prevalence of malaria infections across all ages, 25 y after a trial of insecticide-treated nets was conducted in the same area along the Kenyan coa...

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Main Authors: Kamau, A, Musau, M, Mtanje, G, Mataza, C, Bejon, P, Snow, RW
Format: Journal article
Language:English
Published: Oxford University Press 2022
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author Kamau, A
Musau, M
Mtanje, G
Mataza, C
Bejon, P
Snow, RW
author_facet Kamau, A
Musau, M
Mtanje, G
Mataza, C
Bejon, P
Snow, RW
author_sort Kamau, A
collection OXFORD
description <strong>Background<br></strong> A study was conducted to examine the impact of long-lasting insecticide-treated net (LLIN) use on the prevalence of malaria infections across all ages, 25 y after a trial of insecticide-treated nets was conducted in the same area along the Kenyan coast. <br><strong> Methods<br></strong> The study comprised four community-based infection surveys and a simultaneous 12-month surveillance at six government outpatient health facilities (March 2018–February 2019). Logistic regression was used to examine the effect of LLIN use on malaria infections across all ages. <br><strong> Results<br></strong> There was a high level of reported LLIN use by the community (72%), notably among children <5 y of age (84%). Across all ages, the adjusted odds ratio of LLIN use against asymptomatic parasitaemia in community surveys was 0.45 (95% confidence interval [CI] 0.36 to 0.57; p<0.001) and against fevers associated with infection presenting to health facilities was 0.63 (95% CI 0.58 to 0.68; p<0.001). <br><strong> Conclusions<br></strong> There was significant protection of LLIN use against malaria infections across all ages.
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spelling oxford-uuid:a12826a0-5923-4a75-a63e-e2fd7e836cfc2022-10-26T09:04:02ZLong-lasting insecticide-treated net use and malaria infections on the Kenyan coastJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a12826a0-5923-4a75-a63e-e2fd7e836cfcEnglishSymplectic ElementsOxford University Press2022Kamau, AMusau, MMtanje, GMataza, CBejon, PSnow, RW<strong>Background<br></strong> A study was conducted to examine the impact of long-lasting insecticide-treated net (LLIN) use on the prevalence of malaria infections across all ages, 25 y after a trial of insecticide-treated nets was conducted in the same area along the Kenyan coast. <br><strong> Methods<br></strong> The study comprised four community-based infection surveys and a simultaneous 12-month surveillance at six government outpatient health facilities (March 2018–February 2019). Logistic regression was used to examine the effect of LLIN use on malaria infections across all ages. <br><strong> Results<br></strong> There was a high level of reported LLIN use by the community (72%), notably among children <5 y of age (84%). Across all ages, the adjusted odds ratio of LLIN use against asymptomatic parasitaemia in community surveys was 0.45 (95% confidence interval [CI] 0.36 to 0.57; p<0.001) and against fevers associated with infection presenting to health facilities was 0.63 (95% CI 0.58 to 0.68; p<0.001). <br><strong> Conclusions<br></strong> There was significant protection of LLIN use against malaria infections across all ages.
spellingShingle Kamau, A
Musau, M
Mtanje, G
Mataza, C
Bejon, P
Snow, RW
Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast
title Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast
title_full Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast
title_fullStr Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast
title_full_unstemmed Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast
title_short Long-lasting insecticide-treated net use and malaria infections on the Kenyan coast
title_sort long lasting insecticide treated net use and malaria infections on the kenyan coast
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AT matazac longlastinginsecticidetreatednetuseandmalariainfectionsonthekenyancoast
AT bejonp longlastinginsecticidetreatednetuseandmalariainfectionsonthekenyancoast
AT snowrw longlastinginsecticidetreatednetuseandmalariainfectionsonthekenyancoast