Table 4 Demographic characteristics, parasitemia and genetic markers of drug resistance and diversity in Maputo and Manica provinces, by transmission season in 2022.

From: Antimalarial drug resistance and population structure of Plasmodium falciparum in Mozambique using genomic surveillance at health facilities in 2021 and 2022

 

Maputo

Manica

 

Rainy

Dry

p-value

Rainy

Dry

p-value

N

100

70

 

81

85

-

Patient characteristics:

      

Female, n (%)

49 (49%)

33 (47.1%)

0.763

37 (45.7%)

45 (52.9%)

0.350

Age, median yr (IQR)

15 (6, 28)

8 (4, 29)

0.118

6 (4, 8)

5 (4, 7)

0.738

Parasitemia, median parasites/µL (IQR)

12,041

(1389, 42501)

11,491

(1367, 33176)

0.568

8648

(799, 37875)

24,865

(1395, 61019)

0.056

Drug resistance markers, n/N (%):

     

pfk13

      

Validated mutants

0/99 (0%)

1/68 (1.5%)

0.226

0/78 (0%)

0/76 (0%)

-

Any nsyn mutants*

2/95 (2.1%)

4/66 (6.1%)

0.193

1/76 (1.3%)

0/72 (0%)

0.329

pfdhfr triple 51–59-108

94/94 (100%)

62/62 (100%)

-

56/59 (94.9%)

60/64 (93.8%)

0.780

pfdhps double 437–540

88/94 (93.6%)

58/62 (93.6%)

0.986

52/59 (88.1%)

62/64 (96.9%)

0.063

pfdhfr/pfdhps quintuple

88/94 (93.6%)

58/62 (93.5%)

0.986

49/59 (83.1%)

58/64 (90.6%)

0.212

pfcrt 72–76 CVIET

0/100 (0%)

0/70 (0%)

-

0/78 (0%)

0/77 (0%)

-

pfmdr1 Y184 F

54/100 (54.0%)

52/70 (74.3%)

0.007

52/79 (65.8%)

50/76 (65.8%)

0.997

Diversity metrics:

      

eCOI, median (IQR)

1.1 (1, 1.9)

1.5 (1, 2.2)

0.161

1.8 (1, 2.2)

1.7 (1, 2.4)

0.614

% polyclonal, median (IQR)

50% (40.4, 59.6)

63.2% (51.4, 73.7)

0.114

51.5% (50.4, 71.6)

69.1% (57.4, 78.8)

0.386

1-Fws, median (IQR)

0.12 (0, 0.53)

0.23 (0, 0.57)

0.200

0.39 (0, 0.54)

0.30 (0, 0.57)

0.852

HE, median (IQR)

0.58 (0.55, 0.61)

0.58 (0.55, 0.60)

0.295

0.58 (0.54, 0.61)

0.56 (0.54, 0.59)

0.017

  1. *nsyn: non synonymous mutations