Health centre versus home presumptive diagnosis of malaria in southern Ghana: implications for home-based care policy
Health centre versus home presumptive diagnosis of malaria in southern Ghana: implications for home-based care policy
复制标题
DOI：
10.1016/s0035-9203(00)90324-9
复制
发表时间：
2000-05-01
影响因子：
2.2
通讯作者：
Nkrumah, FK
中科院分区：
文献类型：
--
作者：
Dunyo, SK;Afari, EA;Nkrumah, FK
1997年进行了一项研究，比较加纳南部两个生态区儿童看护人和保健中心工作人员对1-9岁儿童进行疟疾推定诊断的准确性。据报告，在家和在保健中心的儿童也出现了类似症状。在家庭环境中，症状是在发病当天报告的，77.6%报告发烧的儿童是发热的（腋窝温度大于或等于37.5摄氏度），64.7%的疟疾报告是经寄生虫学证实的。在保健中心，儿童就诊前症状的平均持续时间为3天（1-14天不等），报告发烧的儿童中有58.5%发烧，临床诊断病例中有62.6%经寄生虫学证实。在这两种情况下，几乎所有的感染都是由于恶性疟原虫引起的。保健中心病例的寄生虫密度是家庭诊断病例的3倍。照料者在儿童中发现疟疾后及早给予适当治疗，可预防因症状持续存在和寄生虫血症程度高而引起的并发症。
A study was conducted in 1997 to compare the accuracy of presumptive diagnosis of malaria in children aged 1-9 years performed by caretakers of the children to that of health centre staff in 2 ecological zones in southern Ghana. Similar symptoms were reported in the children at home and at the health centre. In the home setting, symptoms were reported the same day that they occurred, 77.6% of the children with a report of fever were febrile (axillary temperature greater than or equal to 37.5 degrees C) and 64.7% of the reports of malaria were parasitologically confirmed. In the health centre, the median duration of symptoms before a child was seen was 3 days (range 1-14 days), 58.5% of the children with a report of fever were febrile and 62.6% of the clinically diagnosed cases were parasitologically confirmed. In the 2 settings almost all the infections were due to Plasmodium falciparum. Parasite density was 3 times higher in the health centre cases compared to the home-diagnosed cases. Early and appropriate treatment of malaria detected in children by caretakers may prevent complications that arise as a result of persistence of symptoms and attainment of high parasitaemic levels.