瓦朗加尔米高梅医院儿童年龄组疟疾发病率

Mohan Amgothu, Venu Akkala, Sumanjali Bandi, J. T, Sudha Vatchala
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引用次数: 0

摘要

背景:在印度,疟疾全年持续存在,通常在雨季发病率较高。这就需要使用其他实验室方法进行诊断,鉴于间日疟疾经常复发,因此需要进行根治性治疗,这一点很重要。考虑到上述所有因素,认为有必要评估现有的疟疾实验室诊断程序,并了解瓦朗加尔疟疾流行的趋势。方法:前瞻性研究,在华伦加尔医学院微生物学系进行。研究对象为发热伴发冷、僵直伴出汗的儿童年龄组。采集血样,取厚、薄血涂片,JSB染色、利什曼染色或吉姆萨染色。采用Parasight 'F'试验和OptiMAL试验检测抗原。使用卡方检验来寻找参数之间的相关性。结果:共采集血样300份,疟疾阳性率为24%,男女之比为1.05,差异无统计学意义。地区间疟疾阳性率差异无统计学意义。年龄方面,最多的病例诊断在6 - 10岁组。寄生虫F试验在儿童年龄组疟疾诊断中具有很高的敏感性。结论:恶性疟是本地区最常见的疟疾,影响所有儿童年龄组和性别。寄生虫F试验是较好的疟疾诊断技术。
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Incidence of Malaria among the Pediatric Age Group Attending to MGM Hospital Warangal
Abstract Background: In India, malaria persist throughout the year and usually the incidence is more during rainy season. This necessitates the use of other laboratory methods to clinch the diagnosis, which is important in view of frequent relapses reported in vivax malaria and hence there is need for radical treatment. Considering all the above factors, a need is felt to evaluate the available lab diagnostic procedures for malaria, and also to know the trend of malaria epidemic at Warangal. Methods: It was a prospective study, conducted in the department of Microbiology, KMC Warangal. Paediatric age group with fever with chills and rigors followed by sweating were included in this research. Blood sample was collected thick and thin blood smears were prepared, stained by JSB or Leishmans or Giemsa. Parasight 'F' test and OptiMAL tests were used to detect the antigen. Chi square test was used to find the correlation between the parameters. Results: Total 300 blood samples were collected, malaria positivity was 24%, male female ratio was 1.05, statistically there was no significant difference. In area wise malaria positivity also statistically there was no significant difference. Age wise, maximum cases were diagnosed in 6 – 10 years group. Parasight F test was identified to be highly sensitive in the diagnosis of malaria among the paediatric age group. Conclusion: Falciparum malaria is identified to be the commonest malaria in this area which effect all the paediatric age groups and gender. Parasight F test was found to be the better technique in malaria diagnosis.
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