Prevalence of Malaria among Pregnant Women Attending Muhammad Abdullahi Wase Teaching Hospital Kano State, Nigeria

H.Y. Idris, A.M. Umar, T. Auta, U. Abdulmalik
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Abstract

Malaria in pregnant women remains a major public health problem especially in sub-Saharan Africa. Approximately twenty five million  pregnant women in sub-Saharan Africa live at risk of malaria. The study was carried out between July and August 2021, to determine the  prevalence of malaria parasite among pregnant women attending Mohammad Abdullahi Wase Teaching Hospital Kano. Microscopic examinations of both thick and thin smears were made using Giemsa Stained solution. Out of one hundred and forty blood samples  examined, 60(42.9%) were positive for plasmodium falciparum parasite infection. Age group 18-22 years recorded the highest prevalence  rate of (17.90%) and the difference between the age group of the pregnant women was statistically significant (P<0.05) .Primigravida  women recorded highest infection rate (23.60%). However, those in first trimester recorded the highest prevalence of (25%) followed by  those in the second trimester (13.57%). These results show that pregnant women are more predisposed to malaria infection as they are  immunosuppressed especially at early stage and as a primigravida and as teenage mothers than multigravida and older mothers. The  problem of P. falciparum in pregnant women can be prevented by the preventive package of intermittent preventive treatment (IPT) with  sulfadoxine pyrimethamine (SP) at 2 doses given to the pregnant women during their antenatal clinical visits. During this study, the  prevalence of malaria infection among pregnant women attending Muhammad Abdullahi Wase Teaching Hospital was notably higher. P.  falciparum is the most common Plasmodium parasite in this region therefore, more special attention should be directed towards  pregnant women who exhibit identified risk factors for malaria infection.  
尼日利亚卡诺州 Muhammad Abdullahi Wase 教学医院就诊孕妇的疟疾流行率
孕妇患疟疾仍然是一个重大的公共卫生问题,尤其是在撒哈拉以南非洲地区。撒哈拉以南非洲地区约有 2,500 万孕妇面临疟疾风险。这项研究于 2021 年 7 月至 8 月间进行,目的是确定在穆罕默德-阿卜杜拉希-瓦塞教学医院(Mohammad Abdullahi Wase Teaching Hospital Kano)就诊的孕妇中疟疾寄生虫的流行情况。使用吉氏染色溶液对厚涂片和薄涂片进行了显微镜检查。在检查的 140 份血液样本中,有 60 份(42.9%)对恶性疟原虫感染呈阳性反应。18-22 岁年龄组的感染率最高(17.90%),不同年龄组孕妇的感染率差异有统计学意义(P<0.05)。然而,怀孕头三个月的孕妇感染率最高(25%),其次是怀孕后三个月的孕妇(13.57%)。这些结果表明,与多胎妊娠和高龄产妇相比,孕妇更容易感染疟疾,因为她们免疫力低下,尤其是在早期阶段,而且是初产妇和未成年母亲。孕妇感染恶性疟原虫的问题可以通过在产前检查时服用两剂磺胺乙胺嘧啶(SP)的间歇预防性治疗(IPT)套餐来预防。在这项研究中,在穆罕默德-阿卜杜拉希-瓦塞教学医院就诊的孕妇中疟疾感染率明显较高。恶性疟原虫是该地区最常见的疟原虫寄生体,因此,应特别关注表现出疟疾感染风险因素的孕妇。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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