尼日利亚阿布贾Wuse总医院产前检查孕妇中疟疾和伤寒合并感染的流行率

V. Pam, S. Landan, D. Pam, J. F. Gullek, J. Okoro, K. Ogbu, C. Bot, A. O. Akinyera
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引用次数: 7

摘要

疟疾和伤寒都是热带地区的地方病,孕妇是高危人群之一。目的是确定在尼日利亚阿布贾Wuse总医院产前门诊就诊的孕妇中疟疾-伤寒合并感染率。对2015年4月至5月在阿布贾wuse综合医院就诊的孕妇的疟疾感染和伤寒及其血液学参数进行了研究。采集血样,分别用维达尔凝集法和恶性疟原虫抗原快速检测仪检测疟疾和伤寒。200例样本中,疟疾寄生虫感染16例(8%),伤寒感染77例(38.5%),疟疾伤寒合并感染9例(4.5%)。原孕科共感染7例(10.6%)高于多孕科2例(2.2%),差异有统计学意义(P < 0.05, df =1, x2 cal= 8.5462, x2 tab= 3.841)。妊娠早期6患病率最高(8.9%),妊娠晚期0患病率最低(0%),差异有统计学意义(P < 0.05, df =1, x2 cal= 4.3292, x2 tab= 5.991)。研究表明,至少38.5%的病例在妊娠期间伤寒并发疟疾,这对不良妊娠结局产生了深远影响。这对公共卫生有着巨大的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The prevalence of malaria and typhoid co-infection in pregnant women attending antenatal in Wuse general hospital Abuja, Nigeria
Malaria and typhoid fever are both endemic in the tropics and pregnant women constitute one of the high risk groups. The objective is to determine the rate of malaria- typhoid co-infection in pregnant women attending antenatal clinics in Wuse general hospital Abuja, Nigeria.A study of malaria infection and typhoid fever on the pregnant women attending wuse general hospital and its haematological parameters was carried out between April and May, 2015 in Abuja.  Blood samples were collected and examined for malaria and typhoid using widal agglutination method and P. falciparium antigens rapid test device respectively. Of the 200 sampled, 16(8%) were infected with malaria parasite while 77 (38.5%) were infected with typhoid, 9(4.5%) had the malaria typhoid co-infection.  More co-infection 7(10.6%) was recorded among primigravidae than the multigravidae 2 (2.2%) these differences were statistically significant (P < 0.05, df =1, X 2 cal= 8.5462, X 2 tab= 3.841). Highest prevalence was recorded among those in their first trimester 6 (8.9%) and lowest among those in the third trimester 0 (0%), these differences were also statistically significant (P < 0.05, df =1, X 2 cal= 4.3292, X 2 tab= 5.991). The study showed that typhoidfever was complicated by malaria in pregnancy in at least 38.5% of the cases and this has a far reaching effect on adverse pregnancy outcome. This has immense public health implication.
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