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哥伦比亚蒂拉尔塔地区无症状疟原虫感染

Asymptomatic Plasmodium spp. infection in Tierralta, Colombia.

作者信息

Cucunubá Zulma Milena, Guerra Angela Patricia, Rahirant Sonia Judith, Rivera Jorge Alonso, Cortés Liliana Jazmín, Nicholls Rubén Santiago

机构信息

Grupo de Bioquímica y Biología Celular, Instituto Nacional de Salud, Bogotá DC, Colombia.

出版信息

Mem Inst Oswaldo Cruz. 2008 Nov;103(7):668-73. doi: 10.1590/s0074-02762008000700007.

Abstract

With the aim of determining the prevalence of asymptomatic Plasmodium spp. infection by thick smear and PCR and its association with demographic and epidemiological characteristics in the village of Nuevo Tay, Tierralta, Córdoba, Colombia, a cross-sectional population study was carried out, using random probabilistic sampling. Venous blood samples were taken from 212 people on day 0 for thick smear and PCR. Clinical follow-up and thick smears were carried out on days 14 and 28. The prevalence of Plasmodium spp. infection was 17.9% (38/212; 95% CI: 12.5-23.3%) and the prevalence of asymptomatic Plasmodiumspp. infection was 14.6% (31/212; 95% CI: 9.6-19.6%). Plasmodium vivax was found more frequently (20/31; 64.5%) than Plasmodium falciparum (9/31; 29%) and mixed infections (2/31; 6.5%). A significantly higher prevalence of asymptomatic infection was found in men (19.30%) than in women (9.18%) (prevalence ratio: 2.10; 95% CI: 1.01-4.34%; p = 0.02). People who developed symptoms had a significantly higher parasitemia on day 0 than those who remained asymptomatic, of 1,881.5 +/- 3,759 versus 79 +/- 106.9 (p = 0.008). PCR detected 50% more infections than the thick smears. The presence of asymptomatic Plasmodium spp. infection highlights the importance of carrying out active searches amongst asymptomatic populations residing in endemic areas.

摘要

为了确定哥伦比亚科尔多瓦省蒂埃拉尔塔市新泰村无症状疟原虫属感染的患病率,以及通过厚涂片和聚合酶链反应(PCR)检测其与人口统计学和流行病学特征的关联,开展了一项横断面人群研究,采用随机概率抽样法。在第0天采集了212人的静脉血样本进行厚涂片和PCR检测。在第14天和第28天进行临床随访和厚涂片检查。疟原虫属感染的患病率为17.9%(38/212;95%置信区间:12.5 - 23.3%),无症状疟原虫属感染的患病率为14.6%(31/212;95%置信区间:9.6 - 19.6%)。间日疟原虫的检出频率(20/31;64.5%)高于恶性疟原虫(9/31;29%)和混合感染(2/31;6.5%)。发现男性无症状感染的患病率(19.30%)显著高于女性(9.18%)(患病率比:2.10;95%置信区间:1.01 - 4.34%;p = 0.02)。出现症状的人在第0天的寄生虫血症显著高于无症状者,分别为1881.5±3759和79±106.9(p = 0.008)。PCR检测出的感染比厚涂片多50%。无症状疟原虫属感染的存在凸显了在流行地区无症状人群中进行主动筛查的重要性。

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