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尼日利亚伊洛林献血者中的疟疾寄生虫血症

Malaria Parasitaemia among Blood Donors in Ilorin, Nigeria.

作者信息

Olawumi Hannah O, Fadeyi Abayomi, Babatunde Shola K, Akanbi Aliu A, Babatunde Abiola S, Sani Musa A, Aderibigbe Sunday A

机构信息

Department of Haematology and Blood Transfusion, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Department of Microbiology and Parasitology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

出版信息

Afr J Infect Dis. 2015;9(1):10-3. doi: 10.4314/ajid.v9i1.3.

Abstract

BACKGROUND

The prevalence of malaria parasitaemia among blood donors in Ilorin has not been documented. In this study, we determined the prevalence of malaria parasitaemia among blood donors in Ilorin, as well as, the sociodemographic and other factors associated with it.

METHOD

This was a hospital-based cross sectional study involving 308 consenting blood donors. The sociodemographic characteristics of participants as well as blood donation history were obtained using structured questionnaires specifically designed for this purpose. Giemsastained thick and thin blood films to identify malaria parasites were performed using standard method. ABO blood grouping and haemoglobin electrophoresis tests were also done using standard methods.

RESULTS

The prevalence of malaria parasitaemia among blood donors in Ilorin was 27.3%. The parasite species found were more of Plasmodium falciparum(85.7%) than Plasmodium malariae(14.3%) . There was no age or sex difference in malaria parasitaemia. (p-value of 0.8 and 0.32 respectively). A greater proportion of blood group O individuals had malaria parasitaemia than groups A and B but this difference was not significant (p-value = 0.13). There was also no significant difference among haemoglobin genotypes.

CONCLUSION

The prevalence of malaria parasites among blood donors in Ilorin is considerably high and lack of routine screening of blood puts recipients at risk. We recommend that routine screening for malaria parasites be commenced in our blood banks. Treatment of donor blood with riboflavin and UV light to inactivate malaria parasites and other infectious pathogens before they are transfused to patients may also be considered in our blood banks.

摘要

背景

伊洛林地区献血者中疟疾寄生虫血症的患病率尚无记录。在本研究中,我们确定了伊洛林地区献血者中疟疾寄生虫血症的患病率,以及与之相关的社会人口统计学和其他因素。

方法

这是一项基于医院的横断面研究,涉及308名同意参与的献血者。使用专门为此目的设计的结构化问卷获取参与者的社会人口统计学特征以及献血史。采用标准方法制作吉姆萨染色的厚薄血涂片以识别疟原虫。ABO血型分组和血红蛋白电泳测试也采用标准方法进行。

结果

伊洛林地区献血者中疟疾寄生虫血症的患病率为27.3%。发现的疟原虫种类中,恶性疟原虫(85.7%)比间日疟原虫(14.3%)更多。疟疾寄生虫血症在年龄和性别上没有差异(p值分别为0.8和0.32)。O血型个体患疟疾寄生虫血症的比例高于A组和B组,但这种差异不显著(p值 = 0.13)。血红蛋白基因型之间也没有显著差异。

结论

伊洛林地区献血者中疟原虫的患病率相当高,缺乏血液常规筛查使受血者面临风险。我们建议在我们的血库中开始对疟原虫进行常规筛查。我们的血库也可考虑在将供血输给患者之前,用核黄素和紫外线对供血进行处理,以灭活疟原虫和其他感染性病原体。

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