Hematological Abnormalities Among Malaria Infected Adult Patients in Association with ABO Blood Groups at Jinella Health Center, Harar, Eastern Ethiopia.

IF 2.1 Q3 HEMATOLOGY
Haftu Asmerom, Kabtamu Gemechu, Beza Sileshi, Mesay Arkew
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Abstract

Background: Hematological abnormalities are a common complication of malaria infection. However, there is a paucity of evidence regarding it among malaria-infected adult patients in association with the ABO blood group in Ethiopia, particularly in the Harari Region. Therefore, this study aimed to assess the hematological abnormalities among malaria-infected adult patients in association with ABO blood groups at Jinella Health Center, Harar, Eastern Ethiopia.

Methods: An institutional-based cross-sectional study was conducted from July 10, 2022, to January 10, 2023. Four milliliters of venous blood were collected from each study participant. Drops of blood were used for blood film preparation. ABO blood group was determined by agglutination test using monoclonal anti-sera (Agape Diagnostics Ltd., India). A complete blood count was done using the DxH 800 (Beckman Coulter, Inc, Miami, FL) hematology analyzer. The data were analyzed using SPSS version 26. Bivariable and multivariable logistic regression models were fitted. The level of significance was declared at a p-value of <0.05.

Results: The study revealed that 47.2% (95% CI: 41.0 53.6) of the participants were anemic. Being female (AOR = 3.18, 95% CI = 1.67, 6.04), having the A blood group (AOR = 2.75, CI = 1.20, 6.31), and being infected with P. falciparum (AOR = 2.64, CI = 1.26, 5.53) were all significantly associated with malaria anemia. The overall prevalence of thrombocytopenia was also 67.7% (95% CI: 61.7-73.4%). It was significantly associated with P. falciparum infection (AOR = 8.03, CI = 3.53, 18.25) and high parasitemia levels (AOR = 4.40, CI = 1.57, 12.32).

Conclusion: Patients with malaria who belonged to the "A" blood group in the study area had anemia as a serious health problem. Hence, frequently checking for anemia in patients with malaria who have blood group "A" can help with early detection and better management of anemia.

Abstract Image

埃塞俄比亚东部哈拉尔Jinella卫生中心与ABO血型相关的疟疾感染成年患者血液学异常
背景:血液学异常是疟疾感染的常见并发症。然而,在埃塞俄比亚,特别是在哈拉里地区,缺乏与ABO血型有关的疟疾感染成年患者的证据。因此,本研究旨在评估埃塞俄比亚东部哈拉尔Jinella卫生中心疟疾感染成人患者的血液学异常与ABO血型的关系。方法:于2022年7月10日至2023年1月10日进行基于机构的横断面研究。从每个研究参与者身上采集了4毫升静脉血。滴血用于血膜制备。采用单克隆抗血清凝集试验测定ABO血型(Agape Diagnostics Ltd, India)。使用DxH 800 (Beckman Coulter, Inc, Miami, FL)血液学分析仪进行全血细胞计数。数据采用SPSS 26进行分析。拟合了双变量和多变量logistic回归模型。显著性水平以结果的p值宣布:研究显示47.2% (95% CI: 41.0 53.6)的参与者贫血。女性(AOR = 3.18, 95% CI = 1.67, 6.04)、A型血(AOR = 2.75, CI = 1.20, 6.31)、感染恶性疟原虫(AOR = 2.64, CI = 1.26, 5.53)与疟疾贫血有显著相关性。血小板减少症的总体患病率也为67.7% (95% CI: 61.7-73.4%)。与恶性疟原虫感染(AOR = 8.03, CI = 3.53, 18.25)和高寄生虫血症(AOR = 4.40, CI = 1.57, 12.32)显著相关。结论:研究区A血型疟疾患者存在贫血严重的健康问题。因此,经常检查A型血疟疾患者的贫血情况有助于早期发现和更好地管理贫血。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
94
审稿时长
16 weeks
期刊介绍: The Journal of Blood Medicine is an international, peer-reviewed, open access, online journal publishing laboratory, experimental and clinical aspects of all topics pertaining to blood based medicine including but not limited to: Transfusion Medicine (blood components, stem cell transplantation, apheresis, gene based therapeutics), Blood collection, Donor issues, Transmittable diseases, and Blood banking logistics, Immunohematology, Artificial and alternative blood based therapeutics, Hematology including disorders/pathology related to leukocytes/immunology, red cells, platelets and hemostasis, Biotechnology/nanotechnology of blood related medicine, Legal aspects of blood medicine, Historical perspectives. Original research, short reports, reviews, case reports and commentaries are invited.
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