Rapid increase in the prevalence of sulfadoxine-pyrimethamine resistance among Plasmodium falciparum isolated from pregnant women in Ghana

Frank P Mockenhaupt, George Bedu-Addo, Teunis A Eggelte, Lena Hommerich, Ville Holmberg, Christa von Oertzen, Ulrich Bienzle

Research output: Contribution to journalArticleScientificpeer-review


"Use of intermittent preventive treatment with sulfadoxine-pyrimethamine (SP) during pregnancy (IPTp-SP) has become policy in much of sub-Saharan Africa but crucially depends on the efficacy of SP. We assessed the frequency of the dhfr triple mutation among Plasmodium falciparum isolates obtained from pregnant Ghanaian women in 1998, 2000, and 2006. The prevalence of the triple mutation, which confers resistance to SP, doubled from 36% to 73% during the study period (P<.001). In 2006, the prevalence was virtually identical among women of early gestation and delivering women with or without a history of IPTp-SP use, indicating that such treatment did not select for mutant parasites. Nevertheless, IPTp-SP may be outdated by drug resistance before it is fully implemented."
Original languageEnglish
JournalJournal of Infectious Diseases
Issue number10
Pages (from-to)1545-1549
Number of pages5
Publication statusPublished - 2008
MoE publication typeA1 Journal article-refereed

Cite this