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五岁以下无症状疟原虫感染儿童血液学参数的变化:对疟疾现场研究的意义

Variation in haematological parameters in children less than five years of age with asymptomatic Plasmodium infection: implication for malaria field studies.

作者信息

Gansane Adama, Ouedraogo Issa Nebie, Henry Noelie Bere, Soulama Issiaka, Ouedraogo Esperance, Yaro Jean-Baptiste, Diarra Amidou, Benjamin Sombie, Konate Amadou Tidiani, Tiono Alfred, Sirima Sodiomon Bienvenu

机构信息

Centre National de Recherche et de Formation sur le Paludisme, Kadiogo, Ouagadougou, Burkina Faso.

出版信息

Mem Inst Oswaldo Cruz. 2013 Aug;108(5):644-50. doi: 10.1590/0074-0276108052013017.

Abstract

During the season of high malaria transmission, most children are infected by Plasmodium, which targets red blood cells (RBCs), affecting haematological parameters. To describe these variations, we examined the haematological profiles of two groups of children living in a malaria-endemic area. A cross-sectional survey was conducted at the peak of the malaria transmission season in a rural area of Burkina Faso. After informed consent and clinical examination, blood samples were obtained from the participants for malaria diagnosis and a full blood count. Of the 414 children included in the analysis, 192 were not infected with Plasmodium, whereas 222 were asymptomatic carriers of Plasmodium infection. The mean age of the infected children was 41.8 months (range of 26.4-57.2) compared to 38.8 months (range of 22.4-55.2) for the control group (p = 0.06). The asymptomatic infected children tended to have a significantly lower mean haemoglobin level (10.8 g/dL vs. 10.4 g/dL; p < 0.001), mean lymphocyte count (4592/µL vs. 5141/µL; p = 0.004), mean platelet count (266 x 10³/µL vs. 385 x 10³/µL; p < 0.001) and mean RBC count (4.388 x 10(6)/µL vs. 4.158 x 10(6)/µL; p < 0.001) and a higher mean monocyte count (1403/µL vs. 1192/µL; p < 0.001) compared to the control group. Special attention should be applied when interpreting haematological parameters and evaluating immune responses in asymptomatic infected children living in malaria-endemic areas and enrolled in vaccine trials.

摘要

在疟疾传播高发季节,大多数儿童会感染疟原虫,疟原虫以红细胞为目标,影响血液学参数。为描述这些变化,我们检查了生活在疟疾流行地区的两组儿童的血液学特征。在布基纳法索一个农村地区疟疾传播季节的高峰期进行了一项横断面调查。在获得知情同意并进行临床检查后,采集参与者的血样用于疟疾诊断和全血细胞计数。在纳入分析的414名儿童中,192名未感染疟原虫,而222名是疟原虫感染的无症状携带者。感染儿童的平均年龄为41.8个月(范围26.4 - 57.2个月),而对照组为38.8个月(范围22.4 - 55.2个月)(p = 0.06)。与对照组相比,无症状感染儿童的平均血红蛋白水平(10.8 g/dL对10.4 g/dL;p < 0.001)、平均淋巴细胞计数(4592/µL对5141/µL;p = 0.004)、平均血小板计数(266×10³/µL对385×10³/µL;p < 0.001)和平均红细胞计数(4.388×10⁶/µL对4.158×10⁶/µL;p < 0.001)显著更低,而平均单核细胞计数更高(1403/µL对1192/µL;p < 0.001)。在解释生活在疟疾流行地区且参加疫苗试验的无症状感染儿童的血液学参数和评估免疫反应时应格外注意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12aa/3970598/da96e12fa509/0074-0276-mioc-108-05-644-gf01.jpg

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