Malaria in Mauritania:: the first cases of malaria endemic to Nouakchott
Malaria in Mauritania:: the first cases of malaria endemic to Nouakchott
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DOI：
10.1046/j.1365-3156.2003.01029.x
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发表时间：
2003-04-01
影响因子：
3.3
通讯作者：
Valero, A
中科院分区：
文献类型：
--
作者：
Cortes, H;Morillas-M치rquez, F;Valero, A
毛里塔尼亚目前的疟疾流行情况尚不清楚，因为在大多数保健中心，疟疾疑似病例没有通过寄生虫学分析得到确认，而诊断仅基于临床症状。为了获得关于该国疟疾的可靠数据，从两家医院就诊的症状与疟疾症状相符的患者身上采集了稀薄和浓厚的血液涂片：努瓦克肖特综合诊所为该国三分之一的人口提供服务，记录的疟疾感染率为18.5%(446人中的77人)；恶性疟原虫引起的感染率为61.85%，间日疟原虫为35.5%(28/77)。在戈尔果市流行地区的省会凯迪地区医院，记录的患病率为25.49%(416人中106人)，恶性疟原虫是唯一的致病物种。在努瓦克肖特确诊的77例疟疾病例中，有9例(7例恶性疟原虫和2例间日疟原虫)被认为是该市的地方病。除了一名从未离开首都的成年人外，这些病例都是8岁以下的儿童，这是该市首次发现地方性病例。
The current situation of endemic malaria in Mauritania is not clear since, in most health centres, suspected malaria cases are not confirmed by parasitological analysis and diagnosis is based on clinical symptoms alone. To obtain reliable data about malaria in this country, thin and thick blood smears were taken from patients with symptoms compatible with the illness, who attended two hospitals: Polyclinic of Nouakchott, which serves one-third of the country's population, where a malaria infection rate of 18.5% (77 of 446) was recorded; Plasmodium falciparum caused 61.85% of these, P. vivax 35.5% (28/77). In Kaedi Regional Hospital, provincial capital of the endemic Gorgol region, a prevalence of 25.49% (106 of 416) was recorded, with P. falciparum as the sole pathogenic species. Of the 77 cases of malaria diagnosed in Nouakchott, nine (seven of P. falciparum and two of P. vivax) were considered as endemic to the city. These cases were all children under 8 years of age except for one adult who had never left the capital, and this is the first time that cases endemic to this city have been detected.