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坦桑尼亚基巴哈区疟疾和妊娠贫血患病率及其影响磺胺多辛-乙胺嘧啶间歇性预防治疗采用率的因素评估。

Appraisal on the prevalence of malaria and anaemia in pregnancy and factors influencing uptake of intermittent preventive therapy with sulfadoxine-pyrimethamine in Kibaha district, Tanzania.

作者信息

Tarimo S Donath

机构信息

Medical Parasitology & Entomology, School of Public Health & Social Sciences, Muhimbili Uuiversity of Health & Allied Sciences, Dar es Salaam, Tanzania.

出版信息

East Afr J Public Health. 2007 Oct;4(2):80-3.

Abstract

OBJECTIVE

To appraise the prevalence of malaria and anaemia in antenatal mothers; and explore the factors influencing coverage of intermittent preventive treatment (IPT) with sulfadoxine-pyrimethamine (SP) under operational conditions in the national programme for malaria control in pregnancy.

DESIGN

Descriptive cross-sectional survey.

SETTING

The reproductive and child health clinic in Kibaha district hospital, Tanzania SUBECTS: Pregnant mothers on routine antenatal visits

MAIN OUTCOME MEASURES

Prevalence of malaria (peripheral parasitaemia) and anaemia, coverage of IPT with SP and the factors influencing coverage.

RESULTS

A total of 395 mothers were recruited; 27.3% had malaria. Moderate anaemia i.e. haemoglobin (Hb) level 8. -10.9 g/dl was detected in 56.7% of mothers; 34.2% had severe anaemia (Hb < 8.0 g/dl). Hb > 8.0 g/dl was strongly associated with negative parasitaemia while Hb < 8.0 gidl was strongly associated with positive parasitaemia. About a third (40.0%) of the mothers did not receive SP for IPT

摘要

目的

评估产前母亲中疟疾和贫血的患病率;并探讨在国家孕期疟疾控制规划的实际操作条件下,影响磺胺多辛-乙胺嘧啶(SP)间歇性预防治疗(IPT)覆盖率的因素。

设计

描述性横断面调查。

地点

坦桑尼亚基巴哈区医院的生殖与儿童健康诊所

研究对象

进行常规产前检查的孕妇

主要观察指标

疟疾(外周血寄生虫血症)和贫血的患病率、SP的IPT覆盖率以及影响覆盖率的因素。

结果

共招募了395名母亲;27.3%患有疟疾。56.7%的母亲检测到中度贫血,即血红蛋白(Hb)水平为8. - 10.9 g/dl;34.2%患有重度贫血(Hb < 8.0 g/dl)。Hb > 8.0 g/dl与寄生虫血症阴性密切相关,而Hb < 8.0 g/dl与寄生虫血症阳性密切相关。约三分之一(40.0%)的母亲未接受用于IPT的SP治疗

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