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埃塞俄比亚西北部阿姆哈拉地区选定区域疟疾监测数据的五年趋势分析。

A five-year trend analysis of malaria surveillance data in selected zones of Amhara region, Northwest Ethiopia.

作者信息

Lankir Damtie, Solomon Samrawit, Gize Addisu

机构信息

Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Department of Microbiology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

出版信息

BMC Public Health. 2020 Jul 28;20(1):1175. doi: 10.1186/s12889-020-09273-5.

DOI:10.1186/s12889-020-09273-5
PMID:32723306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7388494/
Abstract

BACKGROUND

Trend analysis of malaria surveillance data is essential to inform stakeholders on progress towards malaria control. From the total 387,096 cases of malaria reported in Amhara region in 2017, 167,079 (43.2%) cases were in Central, North and West Gondar zones. From this total figure of zones, 15,445 (9.2%) were ≤ 5 years which contributes 4% of cases in the region. So, the purpose of this study was to analyze trends of malaria parasite in Selected Zones of Amhara Region, Northwest Ethiopia.

METHODS

A Retrospective study was conducted on purposely selected Central, North and West Gondar zones from July 1-30/ 2018. Data were collected, entered, cleaned, analyzed and interpreted using Microsoft Excel-2010. Different tables, figures and maps were used to present results.

RESULT

A total of 2,827,722 cases have been received a diagnostic test of; Microscopy 1,712,193(60.56%) and Rapid Diagnostic Test (RDT) 1,115,529(39.44%). Trends of total patients treated as confirmed and clinical malaria cases in July 2017-June 2018 were decreased to 139,297 (14%) as compared from July 2015-June 2016, 249,571(25%). From total cases received diagnostic tests only 1,003,391 (36%) were confirmed and clinical cases treated with antimalaria. Of these Plasmodium falciparum and vivax malaria cases were confirmed to be 1002,946 (99.96%) and clinical malaria cases were 445(0.04%), respectively.

CONCLUSION

Risk of infection and diagnostic effort were high in West Gondar Zone. The Amhara public health institute including health Bureau, stakeholders and all responsible bodies should give special standing to highest malaria districts of West Gondar zone.

摘要

背景

疟疾监测数据的趋势分析对于让利益相关者了解疟疾控制进展至关重要。2017年阿姆哈拉地区共报告了387,096例疟疾病例,其中167,079例(43.2%)发生在贡德尔中部、北部和西部地区。在这些地区的病例总数中,15,445例(9.2%)为5岁及以下儿童,占该地区病例的4%。因此,本研究的目的是分析埃塞俄比亚西北部阿姆哈拉地区选定区域的疟原虫趋势。

方法

于2018年7月1日至30日对特意选定的贡德尔中部、北部和西部地区进行了一项回顾性研究。使用Microsoft Excel - 2010收集、录入、清理、分析和解释数据。使用不同的表格、图表和地图来呈现结果。

结果

总共2,827,722例接受了诊断检测;显微镜检测1,712,193例(60.56%),快速诊断检测(RDT)1,115,529例(39.44%)。2017年7月至2018年6月确诊和临床疟疾病例的总治疗患者趋势与2015年7月至2016年6月相比有所下降,从249,571例(25%)降至139,297例(14%)。在接受诊断检测的所有病例中,仅有1,003,391例(36%)被确诊为临床病例并接受了抗疟疾治疗。其中,恶性疟原虫和间日疟原虫确诊病例分别为1,002,946例(99.96%)和临床疟疾病例445例(0.04%)。

结论

贡德尔西部地区的感染风险和诊断工作力度较高。阿姆哈拉公共卫生机构,包括卫生局、利益相关者和所有责任机构,应特别关注贡德尔西部地区疟疾高发地区。

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