尼日利亚卡诺穆尔塔拉穆罕默德专科医院五(5)岁以下感染疟疾儿童血液学特征评估

Adama Ibrahim Jibril, Khadija Umar Tela, Safiyyu Mujitapha Umar, Khalid Maikano Khalid, Muhammad Adamu Abbas
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摘要

疟疾在全世界是一个严重的公共卫生问题,特别是在热带和亚热带高流行地区,包括尼日利亚。本研究调查了在尼日利亚卡诺穆尔塔拉穆罕默德专科医院就诊的五(5)岁以下感染疟疾儿童的血液学特征。无菌采集肘前静脉静脉血。制备厚血膜和薄血膜,在光镜下观察,对疟原虫进行鉴定和定量。该研究涉及随机选择的160名儿童:包括80名疟疾阳性和80名阴性儿童。使用SYSMEX自动血液学分析仪(Lincolnshire, Illinois U.S.A.)估计全血细胞计数。结果显示,疟疾感染组红细胞(3.64±1.09×106/µL)低于对照组(4.16±0.86×106/µL)。疟疾患儿血红蛋白(HGB)浓度(8.78±3.14g/dl)低于对照组(10.56±2.33g/dl)。同样,感染儿童的红细胞压积率(25.58±6.28%)明显低于对照组(27.03±7.35%)。病例组患儿血小板计数(172.27±120.65×103/µL)低于对照组(240.73±143.23×103/µL),差异有统计学意义(P>0.05)。而疟疾感染者的白细胞总数及其差异值与对照组比较,差异无统计学意义(p>0.05)。这项研究清楚地表明,疟疾显著影响五岁以下儿童的血液学特征,导致贫血和血小板减少症,但对白细胞和白细胞差异没有影响。关键词:疟疾,儿童,发病率,血液学特征
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Evaluation of the Haematological Profile of Children Under Five (5) Years Infected with Malaria Attending Murtala Muhammad Specialist Hospital, Kano-Nigeria
Malaria is a serious public health concern worldwide, particularly in hyper endemic areas of tropical and subtropical regions, including Nigeria. This study investigated haematological profile of children under five (5) years infected with malaria attending Murtala Muhammad Specialist Hospital, Kano-Nigeria. Venous blood was aseptically collected from the ante-cubital vein. Thick and thin blood films were prepared and viewed under a light microscope to identify and quantify the malaria parasites. The study involved 160 children randomly selected: comprising of 80 malaria positive and 80 negative children. Full blood count was estimated using SYSMEX auto-hematology analyzer (Lincolnshire, Illinois U.S.A.). The results showed that red blood cells were statistically lower in malaria infected (3.64±1.09×106/µL) compared to the controls (4.16±0.86×106/µL). Haemoglobin concentration (HGB) of malaria infected children was also lower (8.78±3.14g/dl) than that of the control group (10.56±2.33g/dl). Similarly, hematocrit percentage of the infected children was significantly lower (25.58±6.28%) compared to the controls of (27.03±7.35%). The platelet count (PLT) of the malaria children were also lower in the case group (172.27±120.65×103/µL) compared to the controls with (240.73±143.23×103/µL), (P>0.05). While the total White Blood Cell counts (WBC) and its differentials did not show any statistically significant difference between the malaria infected and the controls (p>0.05). This study clearly demonstrated that malaria significantly affects the haematological profile of children under five years of age leading to anemia and thrombocytopenia, with no effects on the white blood cells and differentials. Keywords: Malaria, Children, Morbidity, Haematological profile.
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