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尼日利亚东南部阿巴卡利基地区孕妇中疟疾寄生虫血症和疟疾相关贫血的患病率

Prevalence of malaria parasitaemia and malaria related anaemia among pregnant women in Abakaliki, South East Nigeria.

作者信息

Nwonwu E U, Ibekwe P C, Ugwu J I, Obarezi H C, Nwagbara O C

机构信息

Department of Community Medicine, Ebonyi State University Teaching Hospital, Abakaliki, Federal Medical Centre Abakaliki, Nigeria.

出版信息

Niger J Clin Pract. 2009 Jun;12(2):182-6.

Abstract

BACKGROUND

Malaria currently is regarded as the most common and potentially the most serious infection occurring in pregnancy in many sub Saharan African countries. This study was undertaken to evaluate the prevalence of malaria parasitaemia and malaria related anaemia among pregnant women in Abakaliki, South East, Nigeria.

MATERIALS AND METHODS

This is a cross sectional, descriptive study conducted in two tertiary health institutions in Abakaliki, South East, Nigeria (Ebonyi State University Teaching Hospital And Federal Medical Centre). Using systematic sampling method, 193 pregnant women were selected from the health institutions for the study. Their blood were analysed for haemoglobin status and malaria parasite. Data were also collected using an interviewer administered questionnaire. All the data were analysed using Epi info version 6 statistical software.

RESULTS

Response rate was 100%. Twenty nine percent prevalence of malaria parasitaemia was detected, more common among primigravidae. Women with higher parity had higher frequency of anaemia in pregnancy. More than half of the pregnant women (51%) were in their second trimester at the time of booking. There was no case of severe anaemia requiring blood transfusion.

CONCLUSION

Our pregnant women register late for antenatal care. Prevalence of malaria parasitaemia is high in our environment as well as anaemia in pregnancy, using the standard WHO definition. It is suggested that effort should be intensified to make our women register early for antenatal care in order to identify complications early. Intermittent preventive treatment for malaria should be incorporated into routine drugs for antenatal women.

摘要

背景

目前,疟疾被认为是撒哈拉以南非洲许多国家妊娠期最常见且可能最严重的感染。本研究旨在评估尼日利亚东南部阿巴卡利基地区孕妇中疟原虫血症和疟疾相关贫血的患病率。

材料与方法

这是一项横断面描述性研究,在尼日利亚东南部阿巴卡利基的两家三级医疗机构(埃邦伊州立大学教学医院和联邦医疗中心)进行。采用系统抽样方法,从这些医疗机构中选取193名孕妇进行研究。对她们的血液进行血红蛋白状态和疟原虫分析。还使用访谈式问卷收集数据。所有数据均使用Epi info 6版统计软件进行分析。

结果

应答率为100%。检测到疟原虫血症患病率为29%,初产妇中更为常见。多胎妊娠的女性孕期贫血发生率更高。超过一半的孕妇(51%)在登记时处于妊娠中期。没有需要输血的严重贫血病例。

结论

我们的孕妇产前检查登记较晚。按照世界卫生组织的标准定义,在我们的环境中疟原虫血症患病率以及孕期贫血患病率都很高。建议加大力度促使我们的女性尽早登记进行产前检查,以便早期发现并发症。应将疟疾间歇性预防性治疗纳入产前妇女的常规用药中。

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