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Table 1 Odds ratios related to polymorphisms linked to resistance, according to the drug and the duration of the follow-up. Genotyping (gen.) means that analyse was limited to studies that discriminate between reinfection and recrudescence.

From: A systematic review and meta-analysis of evidence for correlation between molecular markers of parasite resistance and treatment outcome in falciparum malaria

Gene

Polymorphism

Drug

Follow-up (genotyping)

Odds Ratio

Confidence intervals 95%

Nb of studies

Pfmdr

N86Y

Chloroquine

14

2.2

1.6 – 3.1

11

 

-

-

28–42

1.8

1.3 – 2.4

11

 

-

-

28 (gen.)

1.9

1.3 – 2.7

7

 

-

Amodiaquine

14–21–28

5.4

2.6 – 11.2

6

Pfmdr

Copy number

Mefloquine

28

8.6

3.3 – 22.9

1

 

-

Mefloquine + artesunate

42

2.6

1.2 – 5.6

1

Pfcrt

K76T

Chloroquine

14

2.1

1.5 – 3.0

13

 

-

-

28

7.2

4.5 – 11.5

12

 

-

-

28 (gen.)

5.1

3.1 – 8.45

8

Pfmdr + Pfcrt

N86Y + K76T

Chloroquine

14–28

3.9

2.6 – 5.8

5

Pfdhfr

108

Sulphadoxine-pyrimethamine

14–28

2.1

1.4 – 3.0

18

 

108

-

28

3.5

1.9 – 6.3

10

 

51

-

14–28

1.7

1.0 – 3.0

6

 

59

-

14–28

1.9

1.4 – 2.6

13

 

51+59+108

-

14–28

4.3

3.0 – 6.3

16

 

51+59+108

-

28 (gen.)

3.1

2.0 – 4.9

8

Pfdhps

437

Sulphadoxine-pyrimethamine

14–28

1.5

1.0 – 2.4

12

 

437 + 540

-

14–28

3.9

2.6 – 5.8

10

Pfdhfr + Pfdhps

Quintuple

Sulphadoxine-pyrimethamine

14–28

5.2

3.2 – 8.8

3