Table 1.
Prevalence of pfcrt and pfmdr1 Haplotypes Before and After Treatment With Artemether-Lumefantrine or Dihydroartemisinin-Piperaquine
Gene | Odds Ratio: Occurrence on Day 3 vs Baseline (95% CI) | Directional Selection Within-Hosta |
||
---|---|---|---|---|
LOSS (Frequency) | GAIN (Frequency) | P Value | ||
pfcrt codons 72-76CVMNK | ||||
AL (N = 43 143) | 10.32 (3.42–41.4) P < .001 | 1 | 15 | P < .001 (N = 43) |
DP (N = 30 135) | 7.64 (2.17–40.8) P < .001 | 1 | 9 | P = .0114 (N = 30) |
Combined ACT (N = 73 278) | 8.90 (3.88–23.69) P < .001 | 2 | 24 | P < .001 (N = 73) |
pfmdr1 codons 86, 184, 1246 NFD | ||||
AL (N = 26 101) | 3.15 (1.19–8.60) P = .001 | 1 | 9 | P = .0114 (N = 22) |
DP (N = 15 104) | 8.52 (1.76–80.3) P = .002 | 1 | 6 | P = .0588 (N = 15) |
Combined ACT (N = 42 206) | 3.59 (1.68–7.95) P < .001 | 2 | 15 | P = .0016 (N = 38) |
Abbreviations: ACT, artemisinin-based combination therapy; AL, artemether-lumefantrine; DP, dihydro-artemisinin-piperaquine.
a Change in genotype in the same patient between day 0 and day 3 is scored as loss or gain; significance tested using McNemar's test of asymmetry.