Mal'aria in the Republic of Ireland; A retrospective review of the clinical epidemiology of mal'aria between 2016 and 2020

IF 1.5 Q4 INFECTIOUS DISEASES

IJID regions Pub Date : 2024-10-11 DOI:10.1016/j.ijregi.2024.100467

David Moynan , James O'Connell , Eoghan de Barra

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引用次数: 0

Abstract

Objectives

Mal'aria is a parasitic infection that continues to present significant morbidity and mortality figures throughout the world. In the Republic of Ireland (Ireland), mal'aria is an imported infection linked most frequently to travel routes from West Africa. There is a paucity of data on the clinical epidemiology and hospital service utilization of mal'aria in non-endemic setting to inform physician practice. This study aims to fill that gap, providing a clinical context to the national picture of both adult and pediatric cases.

Methods

A retrospective review of data from all public Irish hospitals was performed from 2016 to 2020, inclusive. Ethical approval was granted following review by the Social Research Ethics Committee (SREC) of University College Cork.

Results and Conclusions

During the study period, there were 337 cases of mal'aria presenting to Irish hospitals, 15.1% (51/337) in the pediatric age category. Presentations occurred nationwide with a predictable seasonality. The majority (77.45%; 261/337) were Plasmodium falciparum and 6% (20/337) required critical care admission. Interestingly, females had a higher likelihood of admission to critical care (odds ratio 2.75, 95% confidence interval 1.1-6.86). The COVID-19 pandemic saw a 78% reduction in mal'aria presentations in 2020. A total of 1,166 bed days were utilized by cases of mal'aria.

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爱尔兰共和国的疟原虫；2016 年至 2020 年间疟原虫临床流行病学的回顾性研究

疟疾是一种寄生虫感染，在全世界的发病率和死亡率都很高。在爱尔兰共和国（爱尔兰），疟原虫是一种输入性感染，最常见的感染途径是来自西非的旅行。在非流行地区，有关疟原虫的临床流行病学和医院服务使用情况的数据很少，无法为医生的实践提供参考。本研究旨在填补这一空白，为全国成人和儿童病例提供临床背景资料。方法对爱尔兰所有公立医院 2016 年至 2020 年（含 2020 年）的数据进行回顾性审查。在科克大学学院社会研究伦理委员会（SREC）审查后，获得了伦理批准。结果与结论在研究期间，爱尔兰医院共接诊了 337 例疟原虫病例，其中儿科病例占 15.1%（51/337）。病例发生在全国范围内，具有可预测的季节性。大多数病例（77.45%；261/337）为恶性疟原虫感染，6%（20/337）需要接受重症监护。有趣的是，女性接受重症监护的可能性更高（几率比 2.75，95% 置信区间 1.1-6.86）。在 COVID-19 大流行期间，2020 年出现恶性贫血的病例减少了 78%。恶性阿里亚斯病例共占用了 1,166 个病床日。

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来源期刊

IJID regions Infectious Diseases

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

64 days