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[博戈多戈卫生区孕妇中促进恶性疟原虫发生的因素研究]

[Study of factors favouring the occurrence of Plasmodium falciparum in pregnant women in the health district of Bogodogo].

作者信息

Ouédraogo C M R, Nébié G, Sawadogo L, Rouamba G, Ouédraogo A, Lankoandé J

机构信息

Service de gynécologie obstétrique, hôpital de district de Bogodogo, Bogodogo, Burkina Faso.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2011 Oct;40(6):529-34. doi: 10.1016/j.jgyn.2011.03.005. Epub 2011 Apr 22.

DOI:10.1016/j.jgyn.2011.03.005
PMID:21514747
Abstract

OBJECTIVE

The behaviour of pregnant women live in towards prevention, attitude health workers, access measures prejudices and inadequate in urban design contribute to course the persistence of malaria. Objective analyse the factors leading to occurrence of malaria in women speakers in the health district Bogodogo.

PATIENTS AND METHODS

He acts sectional study was place in the rainy season period high malaria transmission. The test rapid diagnosis (TDR) using soluble antigens (HRPII) of Plasmodium falciparum was the diagnostic method used in this work and carried on 810 pregnant women in the health area District Bogodogo in Ouagadougou, Burkina Faso. Results The overall prevalence of antigen HRPII P. falciparum was 18.6% with a CI [16.1-21.5] to 95%. It follows from this work that the risk of infection malaria was significantly higher among pregnant women: that were not educated, lived in outlying areas called "zones not off" of the town and villages nearby, who were not using net. For various reasons, the administration of sulfadoxine/pyrimethamine was not supervised and less than 50% of women regularly slept under a mosquito net.

CONCLUSION

The fight against malaria in pregnant women should focus on communication for change of behaviour of pregnant women and also of health professionals. The fight antivector must be considered in rural areas.

摘要

目的

孕妇对于预防措施的行为、对卫生工作者的态度、在城市设计中存在的偏见以及措施不足等因素导致疟疾持续存在。目的是分析布博迪约戈卫生区讲某种语言的女性中导致疟疾发生的因素。

患者与方法

在疟疾传播高发的雨季进行了一项横断面研究。本研究采用的诊断方法是使用恶性疟原虫可溶性抗原(HRPII)的快速诊断试验(TDR),对布基纳法索瓦加杜古布博迪约戈卫生区的810名孕妇进行了检测。结果:恶性疟原虫HRPII抗原的总体患病率为18.6%,95%置信区间为[16.1 - 21.5]。从这项研究可以看出,未受过教育、居住在城镇和附近村庄的偏远地区(所谓的“非封闭区域”)、未使用蚊帐的孕妇感染疟疾的风险显著更高。由于各种原因,磺胺多辛/乙胺嘧啶的给药未得到监督,不到50%的女性定期在蚊帐下睡觉。

结论

抗击孕妇疟疾应侧重于改变孕妇以及卫生专业人员的行为的宣传。在农村地区必须考虑开展病媒防治工作。

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