A COMPARATIVE STUDY OF THE DIFFERENT DIAGNOSTICS OF DETECTING MALARIA AND TYPHOID FEVER

C. Obum-Nnadi, Dennis Amaechi, C. Fredrick, N. Chima, Adebari Favour Tolulope, Chika Muareen Ezenwa
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Abstract

Aim: The study is aimed at comparing the different method of diagnosing plasmodium parasite and typhoid fever and also to know the most effective method of diagnosis. Methods: The different diagnostic method of analyzing malaria and typhoid were compared by using blood and stool samples of patients from Angwan Rogo community FCT, Abuja. The diagnostic method used for the analysis of malaria were Rapid diagnostic test kit (RDT) and microscopy diagnostic method, which are Field stain and Giemsa stain. The positivity rate of RDT was (12%), Field stain (88%) and Giemsa stain (94%).  Typhoid fever was diagnosed using widal test and stool culture test. The results showed that age group 1-10 had the highest malaria prevalence of 70% followed by age group 21-30 with prevalence of 10%. The positive result for typhoid fever widal test is 63.3% while for stool culture is 90%. Conclusion: The result of the study shows that children are more prevalent to malaria. Therefore, laboratory personnels should not depend solely on widal test, but rather they should employ other diagnostic method such as stool culture which can differentiate salmonella infections from other infections for more diagnostic test result. In diagnosis of analysing malaria and typhoid, microscopy and stool culture are more accurate and reliable.
疟疾和伤寒不同诊断方法的比较研究
目的:比较疟原虫与伤寒的不同诊断方法,了解最有效的诊断方法。方法:通过对阿布贾Angwan Rogo社区卫生所患者的血液和粪便标本进行分析,比较不同诊断方法对疟疾和伤寒的诊断效果。用于疟疾分析的诊断方法为快速诊断试剂盒(RDT)和显微镜诊断方法,分别为Field染色法和Giemsa染色法。RDT阳性率为12%,Field染色阳性率为88%,Giemsa染色阳性率为94%。采用维达尔试验和粪便培养试验诊断伤寒。结果表明:1 ~ 10岁人群疟疾患病率最高,为70%;21 ~ 30岁人群次之,为10%;伤寒细菌试验阳性率为63.3%,粪便培养阳性率为90%。结论:研究结果表明,儿童疟疾患病率较高。因此,实验室工作人员不应仅仅依赖于widal测试,而应采用其他诊断方法,如粪便培养,可以区分沙门氏菌感染和其他感染,以获得更多的诊断结果。在疟疾和伤寒的诊断分析中,显微镜检查和粪便培养更为准确可靠。
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