Malaria and Anemia among Children in a Low Resource Setting In Nigeria

Malaria and Anemia among Children in a Low Resource Setting In Nigeria
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尼日利亚资源匮乏地区儿童的疟疾和贫血症

DOI:
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发表时间:
2012
影响因子:
0.9
通讯作者:
OB Oladeinde
OB Oladeinde
中科院分区:
医学4区
文献类型:
--
作者:
B. Oladeinde;R. Omoregie;M. Olley;J. Anunibe;A. Onifade;OB Oladeinde

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背景本研究旨在确定尼日利亚埃多州冈田农村社区儿童疟疾和贫血的患病率,以及评估使用Incredide处理过的蚊帐的水平及其对研究人群疟疾和贫血患病率的影响。方法对冈田社区226名有疟疾症状和体征的儿童进行厚血片染色和疟原虫检查。所有儿童的血红蛋白浓度也采用标准方法测定。结果185例儿童感染疟原虫,感染率为81.9%。年龄对疟疾寄生虫血症有显著影响(P =0.003)。雨季疟疾和贫血阳性率明显高于旱季(P<0.05)。儿童贫血患病率为47.3%。疟疾是儿童贫血的危险因素(OR=2.551; 95% CI=1.227,5.305; P=0.015)。11名儿童(4.9%)使用了杀虫剂处理过的蚊帐,但这并没有显著降低疟疾和贫血的患病率。但在疟原虫感染的儿童中,其使用显著降低了贫血的患病率(OR=0.126; 95%CI=0.015,1.047; P=0.031)。结论儿童疟疾和贫血发病率较高,疟疾干预方案受到相关机构的大力倡导。
Background This study aimed at determining the prevalence of malaria and anemia among children in rural community of Okada, Edo State Nigeria, as well as to assess the level of use of Insecticide treated bed nets and its impact on prevalence of malaria and anemia among study population. Methods Thick blood films from 226 children with signs and symptoms of malaria in Okada community were stained and examined for presence of malaria parasites. Hemoglobin concentration of all children was also determined using standard method. Result A total of 185 (81.9%) children were infected with malaria parasite. Malaria parasitaemia was significantly affected by age (P =0.003). A significantly higher number of positive cases of malaria and anemia was observed in rainy season as compared to dry season (P<0.05). The prevalence of anemia in children was 47.3%. Malaria was a risk factor for development of anemia in children (OR=2.551; 95% CI=1.227, 5.305; P=0.015). Use of insecticide treated bed nets was recorded in 11(4.9%) of children studied, and did not significantly reduce the prevalence of malaria and anemia. However among malaria parasite infected children, its use significantly reduced the prevalence of anemia (OR=0.126; 95%CI=0.015, 1.047; P=0.031). Conclusion Malaria and anemia among children was high malaria intervention progammes by relevant agencies is strongly advocated.