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Malariometric Indices among Nigerian Children in a Rural Setting

机译:尼日利亚儿童在农村环境中的测疟指标

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Malaria contributes to high childhood morbidity and mortality in Nigeria. To determine its endemicity in a rural farming community in the south-south of Nigeria, the following malariometric indices, namely, malaria parasitaemia, spleen rates, and anaemia were evaluated in children aged 2–10 years. This was a descriptive cross-sectional survey among school-age children residing in a rubber plantation settlement. The children were selected from six primary schools using a multistaged stratified cluster sampling technique. They were all examined for pallor, enlarged spleen, or liver among other clinical parameters and had blood films for malaria parasites. Of the 461 children recruited, 329 (71.4%) had malaria parasites. The prevalence of malaria parasitaemia was slightly higher in the under fives than that of those ≥5 years, 76.2% and 70.3%, respectively. Splenic enlargement was present in 133 children (28.9%). The overall prevalence of anaemia was 35.7%. Anaemia was more common in the under-fives (48.8%) than in those ≥5 years (32.8%). The odds of anaemia in the under fives were significantly higher than the odds of those ≥5 years (OR=1.95[1.19–3.18]). Malaria is highly endemic in this farming community and calls for intensification of control interventions in the area with special attention to school-age children.
机译:疟疾导致尼日利亚儿童发病率和死亡率较高。为了确定其在尼日利亚南部南部的一个农村农业社区中的流行状况,对以下2至10岁儿童的疟疾寄生虫血症,脾脏比率和贫血的疟疾测量指标进行了评估。这是对居住在橡胶园定居点的学龄儿童的描述性横断面调查。这些儿童是采用多阶段分层整群抽样技术从六所小学中选出的。除其他临床参数外,所有患者均进行了苍白,脾脏肿大或肝脏检查,并具有疟疾寄生虫血膜。在招募的461名儿童中,有329名(71.4%)患有疟疾寄生虫。五岁以下五岁以下儿童的疟疾寄生虫病患病率略高于5岁以上人群,分别为76.2%和70.3%。 133名儿童(28.9%)存在脾肿大。贫血的总体患病率为35.7%。五岁以下未成年人(48.8%)比≥5岁的贫血(32.8%)更常见。五岁以下儿童的贫血几率显着高于≥5岁儿童的几率(OR = 1.95 [1.19–3.18])。疟疾在这个农业社区中是高度流行的疾病,要求在该地区加强控制干预措施,特别注意学龄儿童。

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