关于疟疾门诊发热患者COVID-19发病率的报告。

Q3 Medicine

Tropical Parasitology Pub Date : 2021-01-01 Epub Date: 2021-05-14 DOI:10.4103/tp.TP_105_20

Subhasish Kamal Guha, Malabika Biswas, Bishal Gupta, Alisha Acharya, Supriya Halder, Bibhuti Saha, Moytrey Chatterjee, Pratip Kumar Kundu, Ardhendu Kumar Maji

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引用次数: 5

摘要

背景:在疟疾流行地区，有必要对所有急性发热性疾病患者进行疟疾和冠状病毒病(COVID-19)筛查，以降低疟疾相关死亡率，并通过隔离预防COVID-19的传播。目的:开展了一项初步研究，以确定在疟疾诊所就诊的发热患者中SARS-CoV-2感染的发生率。研究对象和方法:所有患者均通过检查厚血涂片和薄血涂片以及快速疟疾抗原检测进行疟疾寄生虫检测。同意接受检测的患者采用快速抗原检测和逆转录聚合酶链反应检测新冠病毒。结果:262例患者中，间日疟原虫阳性66例(25.19%)，恶性疟原虫(Pf)阳性45例(17.17%)，载玻片阳性率为42.40%，Pf阳性率为40.50%。只有29名患者同意同时进行COVID-19和疟疾检测;其中单独感染3例(10.34%)，合并感染2例(6.89%)，发病率为17.24%。因不同意接受新冠肺炎检查而没有接受检查的患者最多(196人)。结论:3例(10.34%)患者的COVID-19诊断对病例的发现和隔离预防社区传播具有重要意义。发现COVID-19和疟疾对于妥善管理同样重要。

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A report on incidence of COVID-19 among febrile patients attending a malaria clinic.

Context: Screening for malaria and coronavirus disease (COVID-19) in all patients with acute febrile illness is necessary in malaria-endemic areas to reduce malaria-related mortality and to prevent the transmission of COVID-19 by isolation.

Aims: A pilot study was undertaken to determine the incidence of SARS-CoV-2 infection among febrile patients attending a malaria clinic.

Subjects and methods: All patients were tested for malaria parasite by examining thick and thin blood smears as well as by rapid malaria antigen tests. COVID-19 was detected by rapid antigen test and reverse transcriptase-polymerase chain reaction in patients agreeing to undergo the test.

Results: Out of 262 patients examined, 66 (25.19%) were positive for Plasmodium vivax, 45 (17.17%) for Plasmodium falciparum (Pf) with a slide positivity rate of 42.40%, and Pf% of 40.50%. Only 29 patients consented for COVID-19 testing along with malaria; of them, 3 (10.34%) were positive for COVID-19 alone and 2 (6.89%) were positive for both COVID-19 and P. vivax with an incidence of 17.24%. A maximum number of patients (196) did not examine for COVID-19 as they did not agree to do the test.

Conclusion: Diagnosis of COVID-19 among three patients (10.34%) is significant both in terms of identification of cases and to isolate them for preventing transmission in the community. Detection of COVID-19 along with malaria is equally important for their proper management.

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来源期刊

Tropical Parasitology Medicine-Infectious Diseases

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Tropical Parasitology, a publication of Indian Academy of Tropical Parasitology, is a peer-reviewed online journal with Semiannual print on demand compilation of issues published. The journal’s full text is available online at www.tropicalparasitology.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of parasitology. Articles with clinical interest and implications will be given preference.