FN Archimer Export Format PT J TI Prevalence of Plasmodium spp. in the Amazonian Border Context (French Guiana-Brazil): Associated Factors and Spatial Distribution BT AF MOSNIER, Emilie ROUX, Emmanuel CROPET, Claire LAZREK, Yassamine MORICEAU, Olivier GAILLET, Melanie MATHIEU, Luana NACHER, Mathieu DEMAR, Magalie ODONNE, Guillaume DOUINE, Maylis MICHAUD, Celine PELLEAU, Stephane DJOSSOU, Felix MUSSET, Lise AS 1:1,2;2:3,4;3:5;4:6;5:6;6:1;7:6;8:5;9:7;10:8;11:2,5;12:1;13:6;14:9;15:6; FF 1:;2:;3:;4:;5:;6:;7:;8:;9:;10:;11:;12:;13:;14:;15:; C1 Ctr Hosp Andree Rosemon, Pole Ctr Delocalises Prevent & Soins, Ave Flamboyants, F-97306 Cayenne, France. Univ Guyane, EA3593, Ecosyst Amazoniens & Pathol Trop, Cayenne, France. Univ Montpellier, Univ Antilles, Univ Guyane, Univ La Reunion,IRD,ESPACE DEV, Montpellier, France. Fiocruz MS, ICICT, LIS, Rio De Janeiro, Brazil. Ctr Invest Clin Antilles Guyane, Inserm 1424, Cayenne, France. Inst Pasteur Guyane, WHO Collaborating Ctr Surveillance Antimalarial D, Ctr Natl Reference Paludisme, Lab Parasitol,Pole Zones Endem, Cayenne, France. Ctr Hosp Andree Rosemon, Lab Parasitol & Mycol, Cayenne, France. CNRS, UMSR, Lab Ecol Evolut Interact Syst Amazoniens LEESIA, Cayenne, France. Ctr Hosp Andree Rosemon, Unite Malad Infect & Trop, Cayenne, France. C2 CTR HOSP ANDREE ROSEMON, FRANCE UNIV GUYANE, FRANCE UNIV MONTPELLIER, FRANCE FIOCRUZ MS, BRAZIL INSERM, FRANCE INST PASTEUR GUYANE, FRANCE CTR HOSP ANDREE ROSEMON, FRANCE CNRS, FRANCE CTR HOSP ANDREE ROSEMON, FRANCE UM LEEISA IN WOS Cotutelle UMR copubli-france copubli-univ-france copubli-int-hors-europe copubli-sud IF 2.345 TC 18 UR https://archimer.ifremer.fr/doc/00657/76880/78125.pdf LA English DT Article AB To implement future malaria elimination strategies in French Guiana, a characterization of the infectious reservoir is recommended. A cross-sectional survey was conducted between October and December 2017 in the French Guianese municipality of St Georges de l'Oyapock, located along the Brazilian border. The prevalence of Plasmodium spp. was determined using a rapid diagnostic test (RDT) and a polymerase chain reaction (PCR). Demographic, house locations, medical history, and biological data were analyzed. Factors associated with Plasmodium spp. carriage were analyzed using logistic regression, and the carriage localization was investigated through spatial cluster analysis. Of the 1,501 samples analyzed with PCR, positive results totaled 90 and 10 for Plasmodium vivax and Plasmodium falciparum, respectively. The general PCR prevalence was 6.6% [5.3-7.9], among which 74% were asymptomatic. Only 13/1,549 were positive by RDT. In multivariate analysis, participants older than 15 years, living in a remote neighborhood, with a prior history of malaria, anemia, and thrombocytopenia were associated with an increased odds of Plasmodium spp. carriage. High-risk clusters of P. vivax carriage were detected in the most remote neighborhoods on the village outskirts and two small foci in the village center. We also detected a hot spot for both P. vivax and P. falciparum symptomatic carriers in the northwestern part of the village. The present study confirms a wide-scale presence of asymptomatic P. falciparum and P. vivax carriers in this area. Although they were more often located in remote areas, their geographic distribution was spatially heterogeneous and complex. PY 2020 PD JAN SO American Journal Of Tropical Medicine And Hygiene SN 0002-9637 PU Amer Soc Trop Med & Hygiene VL 102 IS 1 UT 000506398300025 BP 130 EP 141 DI 10.4269/ajtmh.19-0378 ID 76880 ER EF