Determinants of measles cases with complications in Selangor, Malaysia from year 2014 to 2023 using e-Measles registry.

Q3 Medicine

Medical Journal of Malaysia Pub Date : 2025-07-01

M M Shahriman Teruna, Z I Azhar, M S Ahmad Saman, F Kusnin

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引用次数: 0

Abstract

Introduction: Measles is a highly contagious vaccinepreventable disease endemic to Malaysia. This study aimed to determine the determinants of measles cases with complications in Selangor, Malaysia, from 2014 to 2023.

Materials and methods: This was a cross-sectional study of confirmed measles cases in Selangor using the secondary surveillance database, Sistem Maklumat Siasatan Measles (SM2). The data were reviewed from April 2024 to June 2024. All registered measles cases in Selangor from 2014 to 2023 were analyzed to determine the determinants of measles cases with complications, the type of measles complications, and the characteristics of those who developed measles complications.

Results: Of 3074 measles cases, 479 (15.6%) developed measles complications, of which diarrhea was the most common complication (87.6%), followed by pneumonia (11.6%), otitis media (0.6%), and subsclerosing panencephalitis (0.2%). The majority of those who developed measles complications were aged less than one year old (42.1%) and 1-6 years (31.4%). The significant determinants of measles cases with complications were non-Malaysian nationality (aOR: 2.1, 95% CI: 1.44, 3.05), cases from urban areas (aOR: 1.8, 95% CI: 1.22, 2.76), cases that fulfilled the measles clinical case definition (aOR: 2.1, 95% CI: 1.59, 2.76), cases with a history of contact with other measles cases (aOR: 4.4, 95% CI: 3.43, 5.67), cases from the measles outbreak (aOR: 1.5, 95% CI: 1.10, 2.19), and cases that were hospitalized (aOR: 5.6, 95% CI: 4.49, 7.07).

Conclusion: Strengthening immunization coverage, particularly among high-risk groups, such as non- Malaysians and young children, is essential. Enhanced surveillance, targeted health education, and improved outbreak response strategies are crucial to reduce measles complications in the community. Further research is needed to explore additional factors contributing to measles complications and to assess the effectiveness of intervention measures.

本刊更多论文

2014年至2023年在马来西亚雪兰莪州使用电子麻疹登记处分析麻疹并发症的决定因素。

简介：麻疹是一种高度传染性的疫苗可预防疾病的地方病马来西亚。本研究旨在确定2014年至2023年马来西亚雪兰莪州麻疹并发症的决定因素。材料和方法：这是一项对雪兰莪州麻疹确诊病例的横断面研究，使用二级监测数据库，系统Maklumat Siasatan麻疹（SM2）。数据从2024年4月到2024年6月进行了审查。分析2014年至2023年雪兰莪州所有登记的麻疹病例，以确定麻疹并发症的决定因素、麻疹并发症的类型以及发生麻疹并发症的患者的特征。结果：3074例麻疹患者中，有479例（15.6%）出现麻疹并发症，其中腹泻为最常见的并发症（87.6%），其次为肺炎（11.6%）、中耳炎（0.6%）和硬化下全脑炎（0.2%）。发生麻疹并发症的大多数年龄为1岁以下（42.1%）和1-6岁（31.4%）。麻疹病例合并并发症的重要决定因素为非马来西亚国籍（aOR: 2.1, 95% CI: 1.44, 3.05）、来自城市地区的病例（aOR: 1.8, 95% CI: 1.22, 2.76）、符合麻疹临床病例定义的病例（aOR: 2.1, 95% CI: 1.59, 2.76）、与其他麻疹病例有接触史的病例（aOR: 4.4, 95% CI: 3.43, 5.67）、麻疹暴发病例（aOR: 1.5, 95% CI: 1.10, 2.19）和住院病例（aOR: 5.6, 95% CI: 4.49, 7.07）。结论：加强免疫覆盖，特别是在非马来西亚人和幼儿等高危人群中，是至关重要的。加强监测、有针对性的卫生教育和改进疫情应对战略对于减少社区麻疹并发症至关重要。需要进一步的研究来探索导致麻疹并发症的其他因素，并评估干预措施的有效性。

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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来源期刊

Medical Journal of Malaysia Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

165

期刊介绍： Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.