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首页> 外文期刊>BMC Public Health >Retrospective analysis of risk factors of slide positivity among febrile patients in the Salween river valley of Shan Special Region II, northern Myanmar
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Retrospective analysis of risk factors of slide positivity among febrile patients in the Salween river valley of Shan Special Region II, northern Myanmar

机译:缅甸北部山特二区萨尔温江流域高热患者滑坡阳性危险因素的回顾性分析

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In Myanmar, epidemiological conditions have been unclear due to a lack of accurate data. In 2014 and 2016, malaria outbreaks occurred in the Shan Special Region II (SSR2). It was reported that these outbreaks were caused by malaria patients from the Salween River Valley (SRV), but further research is needed to confirm these reports. To examine the risks of malaria infection in the SSR2 section of the SRV, this paper offers a retrospective analysis based on the data we collected in 2009. A multivariate logistic model was utilized to analyze risk factors associated with the slide positivity of 2009. Results of the investigation in 2009 were compared with updated data. The number of slide positivity was 91 (24.7%, 95% confidence interval [CI], 20.3–29.4%) among 369 people who had fever 2 weeks ago of the survey, including 74 (20.1%; 95%CI, 16.1–24.5%) cases of P. falciparum, 13 (3.5%; 95%CI, 1.9–5.9%) of P.vivax and 4 (1.1%, 95%CI, 0.3–2.8%) of P. malariae. The adjusted odds ratio (OR) was 99.8 (95% CI, 24.7–887.7) for patients’ age?
机译:在缅甸,由于缺乏准确的数据,流行病学状况还不清楚。 2014年和2016年,,邦第二专区(SSR2)爆发了疟疾。据报道,这些暴发是由Salween河谷(SRV)的疟疾患者引起的,但是需要进一步的研究来证实这些报告。为了检查SRV SSR2部分中疟疾感染的风险,本文基于我们在2009年收集的数据进行回顾性分析。利用多元Logistic模型分析与2009年滑坡阳性相关的危险因素。将2009年的调查与最新数据进行了比较。在调查的两周前发烧的369人中,滑坡阳性的数量为91(24.7%,95%置信区间[CI],20.3–29.4%),包括74(20.1%; 95%CI,16.1–24.5) %)的恶性疟原虫病例中,疟原虫有13例(3.5%; 95%CI为1.9-5.9%),疟疾为4例(1.1%,95%CI为0.3-2.8%)。 ≤15岁的患者的校正比值比(OR)为99.8(95%CI,24.7–887.7),居住在<≤800?海拔高度的人的校正后的优势比为6.61(95%CI,3.57–10.49)。 m,对于缺乏疟疾传播知识和症状知识的人们为6.35(95%CI,2.45–23.27),对于没有采取蚊虫叮咬措施的人们为2.10(95%CI,1.22-5.11),而对于5.55(95%CI,2.65) –13.05)延迟治疗的人。与2014年的年度寄生虫发病率13.80 / 10,000人年(422/305733),2015年的2.36 / 10,000人年(73/309004)和2015年的5.25 / 10,000人年(164/312310)相比,疟疾负担是减少。年龄,低海拔,对疟疾传播和症状的了解不足,对蚊虫叮咬的措施无效以及寻求治疗的延迟是滑坡阳性的独立危险因素。这些结果表明,在SRV的住房定居点内可能传播疟疾,并且SRV内的传播率高于其他地区。为了消除疟疾,重要的是人们必须获得合格的治疗以抑制青蒿素的耐药性。试用注册号:ChiCTR-COC-17012522。追溯注册于2017年8月31日。

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