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乌干达基里安东戈综合医院成年消化不良患者感染与贫血之间的关联

Association Between Infection and Anemia Among Adult Dyspeptic Patients Attending Kiryandongo General Hospital, Uganda.

作者信息

Asiimwe Daisy, Bangi Isaac, Esanyu Jospeh, Ojok Daniel, Okot Benedict, Olong Clinton, Wagubi Robert, Kisembo Godfrey, Sempijja Fred, Muwanguzi Enoch, Okongo Benson

机构信息

Department of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara City, Uganda.

Department of Hospital Administration, Kiryandongo General Hospital, Kiryandongo, Uganda.

出版信息

J Blood Med. 2023 Jan 24;14:57-66. doi: 10.2147/JBM.S392146. eCollection 2023.

Abstract

PURPOSE

To determine the prevalence of anemia and its association with infection among adult dyspeptic patients.

PATIENTS AND METHODS

A cross-sectional study was conducted among 283 dyspeptic patients at Kiryandongo General Hospital, in Uganda. A structured questionnaire was administered to capture demographic and clinical characteristics of study participants. Four milliliters of blood were then collected into an EDTA vacutainer for Complete Blood Count (CBC) and analyzed using HUMA COUNT 30, and peripheral blood smears were made and stained using Giemsa stain. Anemia was defined as hemoglobin levels <12g/dl in females and <13g/dl in men according to the World Health Organization (WHO).  stool antigen test was performed using Whole power Ag rapid test device, and saline stool preparation was examined for intestinal parasites. Chi-squared test and Logistic regression were performed to determine association, and a p-value of ≤0.05 was considered statistically significant.

RESULTS

The overall prevalence of infection was 42.4% (120/283). The prevalence of anemia among -infected patients was 25.8% (31/120) and 15.3% (25/163) among -negative counterparts. infection was significantly associated with anemia (p-value 0.042), age (p-value 0.02, 0.009), water sources (p-value 0.0049,) and intestinal parasitic infestation (p-value 0.02), respectively.

CONCLUSION

This study has shown that the prevalence of infection and anemia is high among dyspeptic patients at Kiryandongo General Hospital. infection was found associated with anemia, age, water sources, and intestinal parasitic infestation. Routine screening of anemia in -infected individuals and further studies to explore the relationship between anemia and disease is highly recommended.

摘要

目的

确定成年消化不良患者贫血的患病率及其与感染的关联。

患者与方法

在乌干达基里安东戈综合医院对283名消化不良患者进行了一项横断面研究。采用结构化问卷收集研究参与者的人口统计学和临床特征。然后采集4毫升血液至乙二胺四乙酸(EDTA)真空采血管中进行全血细胞计数(CBC),并使用HUMA COUNT 30进行分析,同时制作外周血涂片并用吉姆萨染色。根据世界卫生组织(WHO)的标准,女性血红蛋白水平<12g/dl、男性血红蛋白水平<13g/dl定义为贫血。使用全功率抗原快速检测装置进行粪便抗原检测,并检查盐水粪便标本中的肠道寄生虫。采用卡方检验和逻辑回归确定关联,p值≤0.05被认为具有统计学意义。

结果

感染的总体患病率为42.4%(120/283)。感染患者中贫血的患病率为25.8%(31/120),未感染患者中为15.3%(25/163)。感染分别与贫血(p值0.042)、年龄(p值0.02、0.009)、水源(p值0.0049)和肠道寄生虫感染(p值0.02)显著相关。

结论

本研究表明,基里安东戈综合医院消化不良患者中感染和贫血的患病率较高。发现感染与贫血、年龄、水源和肠道寄生虫感染有关。强烈建议对感染个体进行贫血的常规筛查,并开展进一步研究以探索贫血与疾病之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d7/9883989/38af7b34439a/JBM-14-57-g0001.jpg

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