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Table 1 Characteristics of the included studies

From: Prevalence of severe Plasmodium knowlesi infection and risk factors related to severe complications compared with non-severe P. knowlesi and severe P. falciparum malaria: a systematic review and meta-analysis

No.

Author, publication year, reference number

Study area (years of the survey)

Study design

Malaria endemicity

Number of P. falciparum infections

Severe P. falciparum infection (%)

Number of P. knowlesi infections

Severe P. knowlesi (%)

Complications of P. falciparum

Complications of P. knowlesi

1.

Barber et al., 2013, [11]

Sabah, Malaysia (2010–2011)

A prospective observational study

Slide positive rate 2010 (0.4%), 2011 (0.3%) (World Malaria Report 2012)

Average: 0.35%

122

13

130

38

Hyperparasitaemia (2)

Jaundice (9)

Respiratory distress (4)

Severe AKI (3)

Shock (6)

Metabolic acidosis (4)

Severe anaemia (2)

Abnormal bleeding (1)

Hyperparasitaemia (18)

Jaundice (20)

Respiratory distress (14)

Severe AKI (9)

Shock (13)

Metabolic acidosis (4)

Severe anaemia (2)

Abnormal bleeding (2)

2.

Barber et al., 2017, [22]

Sabah, Malaysia (2010–2012)

A prospective observational study

Slide positive rate 2010 (0.4%), 2011 (0.3%) (World Malaria Report 2012), 2012 (0.3%) (World Malaria Report 2014)

Average: 0.33%

130

21

146

47

Hyperparasitaemia (3)

Jaundice (12)

Respiratory distress (4)

Severe AKI (3)

Shock (7)

Metabolic acidosis (4)

Severe anaemia (2)

Abnormal bleeding (1)

Hypoglycaemia (1)

Hyperparasitaemia (24)

Jaundice (21)

Respiratory distress (14)

Severe AKI (11)

Shock (11)

Metabolic acidosis (4)

Severe anaemia (5)

Abnormal bleeding (5)

One severity criterion (19)

Two severity criterion (17)

Three or more criterion (11)

3.

Cox-Singh et al., 2011, [23]

Kapit Division, Sawarak, Malaysia (2006–2009)

A cross-sectional observationa study

Slide positive rate 2006 (0.38%), 2007 (0.35%), 2008 (0.47%), 2009 (0.45%) (World Malaria Report 2010)

Average: 0.41%

22

5

94

9

Hyperparasitaemia (2)

Jaundice (3)

Respiratory distress (3)

Severe AKI (3)

Shock (2)

Hypoglycaemia (1)

Hyperparasitaemia (2)

Jaundice (4)

Respiratory distress (2)

Severe anaemia (2)

4.

Daneshvar et al., 2009, [24]

Kapit Division, Sawarak, Malaysia (2006–2008)

A cross-sectional observationalstudy

Slide positive rate 2006 (0.38%), 2007 (0.35%), 2008 (0.47%) (World Malaria Report 2010)

Average: 0.4%

24

NA

107

8

NA

Hyperparasitaemia (3)

Jaundice (3)

Respiratory distress [4]

Severe AKI (3)

Shock (2)

Hypoglycaemia (1)

5.

Grigg et al., 2017, [25]

Sabah, Malaysia (2011–2013)

A prospective observational study

Slide positive rate 2011 (0.3%) (World Malaria Report 2012), 2012 (0.3%), 2013 (0.2%) (World Malaria Report 2014)

Average: 0.27%

96

5

481

28

NA

Hyperparasitaemia (8)

Jaundice (8)

Respiratory distress (2)

Severe AKI (10)

Shock (5)

Metabolic acidosis (3)

Severe anaemia (8)

Abnormal bleeding (1)

Two or more criterion (12)

6.

William et al., 2011, [26]

Sabah, Malaysia (2007–2009)

A retrospective study

Slide positive rate 2007 (0.35%), 2008 (0.47%), 2009 (0.45%) (World Malaria Report 2010)

Average: 0.42%

NA

NA

56

22

NA

Jaundice (9)

Respiratory distress (13)

Severe AKI (12)

Shock (12)

7.

Willmann et al., 2012, [27]

Sarikei and Sibu, Sawarak, Malaysia (2007–2010)

A case control study

Slide positive rate 2007 (0.35%), 2008 (0.47%), 2009 (0.45%) (World Malaria Report 2010), 2010 (0.4%) (World Malaria Report 2012)

Average: 0.42%

NA

NA

110

17

NA

Jaundice (6)

Respiratory distress (3)

Severe AKI (32)

Shock (1)

Severe anaemia (1)

 

Total

   

394

44

1124

169

Jaundice (24, 54.5%)

Shock (15, 34.1%)

Respiratory distress (11, 25%)

Severe AKI (9, 20.5%)

Metabolic acidosis (8, 18.2%)

Hyperparasitaemia (7, 15.9%)

Severe anaemia (4, 9.1%)

Abnormal bleeding (2, 4.54%)

Hypoglycaemia (2, 4.54%)

Severe AKI (77, 45.6%)

Jaundice (71, 42%)

Hyperparasitaemia (55, 32.5%)

Respiratory distress (52, 30.8)

Shock (45, 26.6%)

Metabolic acidosis (11, 6.5%)

Severe anaemia (18, 10.7%)

Abnormal bleeding (8, 4.73%)

  1. AKI Acute kidney injuries, NA Not assessed