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Table 1 Characteristics of the included studies

From: The high risk of malarial recurrence in patients with Plasmodium-mixed infection after treatment with antimalarial drugs: a systematic review and meta-analysis

No.

Authors

Country

Year(s) of experiment

Study design

Follow-up period

Clinical signs

Antimalarial drugs

Number of patients with Plasmodium-mixed infection

Type of recurrence (≤ 28 days and > 28 days)

Species after treatment (n)

Number of patients with P. falciparum infection

Number of patients with P. vivax infection

Before treatment

After treatment

 

Before treatment

After treatment

Before treatment

After treatment

1

Ahmed et al. 2011

India

2007–2008

Observational study

28 days

Severe malaria

Intravenous quinine and oral quinine

6

23

Recurrence within 28 days

Pf + Pv

8

46

0

9

2

Dinko et al. 2013

Ghana

2010

Single-arm clinical trials

28 days

Uncomplicated malaria

ACTs (dihydroartemisinin–piperaquine)

4

14

Recurrence within 28 days (day 21)

Pf + Po (1), Pf + Pm (2), Pf + Pm + Po (1)

16

88

Not reported

Not reported

3

Douglas et al. 2011

Thailand

1991–2005

Observational study (16/24 RCT), single-arm clinical trials (8/24)

28 days (6 studies; 1398 patients), 42 days (11 studies; 5354 patients), or 63 days (7 studies; 3797 patients)

Uncomplicated malaria

ACTs (artesunate–atovaquone–proguanil, artemether, atovaquone–proguanil, artesunate, artesunate–tetracycline, artemether–lumefantrine, artesunate–mefloquine, quinine–mefloquine, quinine, quinine–tetracycline)

574

1164

Recurrence more than 28 days (by day 63)

Pf + Pv

2759

9385

Not reported

Not reported

4

Genton et al. 2005

Papua New Guinea

1994–1995

Single-arm clinical trials

28 days

Uncomplicated malaria

Amodiaquine (14 cases), chloroquine (1 case)

2

10

Recurrence within 28 days

Pf + Pv (9), Pf + Pv + Pm (1)

19

144

1

18

5

Lubis et al. 2020

Indonesia

2015

Single-arm clinical trials

42 days

Uncomplicated malaria

ACTs (dihydroartemisinin–piperaquine, artemether–lumefantrine)

2

39

1 recurrence within 28 days and 1 recurrence more than 28 days (day 35)

Pf + Pm (1), Pf + Pm + Pv (1)

1

114

Not reported

Not reported

6

Patriani et al. 2019

Indonesia

2004–2013

Observational study

365 days

Uncomplicated and severe malaria

Before 2006: quinine or chloroquine (69.2%), intravenous quinine (23.2%)

In 2006: ACTs (96.6%), intravenous artesunate (19.3%)

Single dose primaquine (23.5%), 14 days primaquine (70.3%)

166

1207

Recurrence more than 28 days (in 12 months)

Not specified

334

920

637

1334

7

Senn et al. 2013

Papua New Guinea

2006–2010

RCT

42 days

Uncomplicated malaria

ACTs (single dose of sulfadoxine/pyrimethamine- 3 days of amodiaquine/artesunate)

6

40

Recurrence more than 28 days (42 days)

Pf + Pv

31

372

84

634

8

Sikora et al. 2019

Indonesia

2004–2013

Observational study

28 days

Severe malaria

Intravenous artesunate and dihydroartemisinin–piperaquine, intravenous and oral quinine

81

1729

Recurrence within 28 days

Not specified

247

6915

88

1789

9

Siswantoro et al. 2006

Indonesia

2004–2005

Single-arm clinical trials

42 days

Uncomplicated malaria

Chloroquine- desethylchloroquine

10

15

Recurrence within 28 days (1 early treatment failure and 9 late treatment failure)

Pf + Pv

44

88

24

40

10

Smithuis et al. 2010

Myanmar

2008–2009

RCT

63 days

Uncomplicated malaria

ACTs (artesunate–amodiaquine, artemether–lumefantrine, fixed or loose artesunate–mefloquine, dihydroartemisinin–piperaquine)

95

129

Recurrence more than 28 days (by 63 days)

 

235

697

Not reported

Not reported

11

Sumawinata et al. 2003

Papua New Guinea

1995

Single-arm clinical trials

28 days

Uncomplicated malaria

Chloroquine

20

20

Recurrence within 28 days

 

52

55

24

29

  1. RCT randomized control trial