疟疾感染对尼日利亚索科托大都市附近初级卫生保健医院(PHC)儿科营养状况影响的分子检测

J. Suleiman, Sani Y. Lema, N. T. Isyaku
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引用次数: 0

摘要

分子诊断现在被认为是检测疟疾寄生虫最有效和最可靠的方法;因此,本研究旨在了解疟疾感染对索科托市初级保健医院儿科营养状况的影响,随机招募400名儿童,采用中上臂围(MUAC)胶带测定营养状况,采集血样进行巢式聚合酶链反应(nPCR)检测。其中急性营养不良199/400(49.75%),正常117/400(44.25%),严重营养不良84/400(21.00%)。恶性疟原虫阳性237例(59.25%),其中重度营养不良组感染率最高[78/84(92.86%)],其次为正常组[124/199(62.31%)],急性营养不良组[35/84(41.67%)],重度营养不良组与父母职业(P=0.001)、居住地(P=0.000)、睡在蚊帐中(P=0.012)存在显著相关性。只有性别正常(P=0.001)和睡在蚊帐中(P=0.021)的儿童与睡在蚊帐中(P=0.001)和父母职业(P=0.000)的儿童与睡在蚊帐中(P=0.000)的儿童存在显著相关。研究中疟疾的高流行率表明分子诊断具有较高的敏感性和特异性。有必要在研究地区开展大规模的社区运动并采取蚊虫控制措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Molecular Detection of the Effect of Malaria Infection on Nutritional Status in Paediatrics Attending Primary Health Care Hospitals (PHC) Around Sokoto Metropolitan, Sokoto, Nigeria
Molecular diagnosis is now considered to be the most efficient and reliable method for detection of malaria parasites; hence the present research was designed to access the effect of malaria infection on the nutritional status of the pediatrics attending PHC in Sokoto, 400 children were recruited randomly, nutritional status was determined using mid-upper armed circumference (MUAC) tape, blood samples was collected then subjected to Nested Polymerase Chain Reaction (nPCR) test. Out of 400 samples analyzed, 199/400 (49.75%) were acutely malnourished, 117/400 (44.25%) were normal and 84/400 (21.00%) were severely malnourished. Although 237 (59.25%,) were found positive for Plasmodium falciparum, those that are severely malnourished had the highest infection rate [78/84 (92.86%)] followed by those that are normal [124/199 (62.31%)] than those that were acutely malnourished [35/84 (41.67%)], a significant association was reported for those that are severely malnourished based on parent’s occupation (P=0.001), place of living (P=0.000), and sleeping under nets (P=0.012), there was also significant relationship in those that are normally based on gender (P=0.001), and sleeping under nets (P=0.021) only while those that were normal showed significant relationship based on sleeping under nets (P=0.001) and parents occupation (P=0.000). The high prevalence of malaria in the study demonstrates high sensitivity and specificity of molecular diagnosis. There is a need to embark on massive community campaigns and adoption of mosquito control measures in the study area.
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