TY - JOUR
T1 - Insecticide-treated nets provide protection against malaria to children in an area of insecticide resistance in Southern Benin
AU - Bradley, John
AU - Ogouyèmi-Hounto, Aurore
AU - Cornélie, Sylvie
AU - Fassinou, Jacob
AU - De Tove, Yolande Sissinto Savi
AU - Adéothy, Adicath Adéola
AU - Tokponnon, Filémon T.
AU - Makoutode, Patrick
AU - Adechoubou, Alioun
AU - Legba, Thibaut
AU - Houansou, Telesphore
AU - Kinde-Gazard, Dorothée
AU - Akogbeto, Martin C.
AU - Massougbodji, Achille
AU - Knox, Tessa Bellamy
AU - Donnelly, Martin
AU - Kleinschmidt, Immo
PY - 2017/5/26
Y1 - 2017/5/26
N2 - BackgroundMalaria control is heavily reliant on insecticides, especially pyrethroids. Resistance of mosquitoes to insecticides may threaten the effectiveness of insecticide-based vector control and lead to a resurgence of malaria in Africa.MethodsIn 21 villages in Southern Benin with high levels of insecticide resistance, the resistance status of local vectors was measured at the same time as the prevalence of malaria infection in resident children.ResultsChildren who used LLINs had lower levels of malaria infection [odds ratio = 0.76 (95% CI 0.59, 0.98, p = 0.033)]. There was no evidence that the effectiveness of nets was different in high and low resistance locations (p = 0.513). There was no association between village level resistance and village level malaria prevalence (p = 0.999).ConclusionsLLINs continue to offer individual protection against malaria infection in an area of high resistance. Insecticide resistance is not a reason to stop efforts to increase coverage of LLINs in Africa.
AB - BackgroundMalaria control is heavily reliant on insecticides, especially pyrethroids. Resistance of mosquitoes to insecticides may threaten the effectiveness of insecticide-based vector control and lead to a resurgence of malaria in Africa.MethodsIn 21 villages in Southern Benin with high levels of insecticide resistance, the resistance status of local vectors was measured at the same time as the prevalence of malaria infection in resident children.ResultsChildren who used LLINs had lower levels of malaria infection [odds ratio = 0.76 (95% CI 0.59, 0.98, p = 0.033)]. There was no evidence that the effectiveness of nets was different in high and low resistance locations (p = 0.513). There was no association between village level resistance and village level malaria prevalence (p = 0.999).ConclusionsLLINs continue to offer individual protection against malaria infection in an area of high resistance. Insecticide resistance is not a reason to stop efforts to increase coverage of LLINs in Africa.
KW - Insecticide
KW - Malaria
KW - Nets
KW - Pyrethroid
KW - Resistance
U2 - 10.1186/s12936-017-1873-1
DO - 10.1186/s12936-017-1873-1
M3 - Article
SN - 1475-2875
VL - 16
SP - 225
JO - Malaria Journal
JF - Malaria Journal
IS - 1
M1 - 225
ER -