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尼日利亚贝宁城献血者中的无症状疟疾

Asymptomatic Malaria among Blood Donors in Benin City Nigeria.

作者信息

Oladeinde Bankole Henry, Omoregie Richard, Osakue Eguagie Osareniro, Onaiwu Tola Ohiengbomwan

机构信息

Dept. of Medical Microbiology, College of Health Sciences, Igbinedion University, Okada, Nigeria.

School of Medical Laboratory Sciences, University of Benin Teaching Hospital, P.M.B 1111, Benin City, Nigeria.

出版信息

Iran J Parasitol. 2014 Sep;9(3):415-22.

Abstract

BACKGROUND

This study aimed at determining the prevalence and associated risk factors for asymptomatic malaria parasitaemia and anemia among blood donors in a private medical laboratory in Benin City, Nigeria.

METHODS

Venous blood was collected from a total of 247 blood donors. Malaria status, ABO, Rhesus blood groups and hemoglobin concentration of all participants were determined using standard methods.

RESULTS

The prevalence of asymptomatic malaria infection was higher among commercial blood donors than volunteer group (commercial vs volunteer donor: 27.5 %vs. 13.8%; OR = 2.373, 95% CI = 0.793, 7.107, P = 0.174). Asymptomatic malaria was not significantly affected by gender (P = 0.733), age (P = 0.581), ABO (P = 0.433) and rhesus blood groups (P = 0.806) of blood donors. Age was observed to significantly (P = 0.015) affect malaria parasite density with donors within the age group of 21-26 years having the highest risk. The prevalence of anemia was significantly higher among commercial donors (commercial vs volunteer donors: 23.4% vs 3.4%: OR = 8.551, 95% CI = 1.135, 64.437, P = 0.013) and donors of blood group O type (P = < 0.0001).

CONCLUSIONS

Asymptomatic malaria parasitaemia and anemia was higher among commercial donors than voluntary donors. Mandatory screening of blood donors for malaria parasite is advocated to curb transfusion transmitted malaria and associated sequelae.

摘要

背景

本研究旨在确定尼日利亚贝宁城一家私立医学实验室献血者中无症状疟疾寄生虫血症和贫血的患病率及相关危险因素。

方法

共采集了247名献血者的静脉血。采用标准方法测定所有参与者的疟疾状况、ABO血型、恒河猴血型和血红蛋白浓度。

结果

商业献血者中无症状疟疾感染的患病率高于志愿者组(商业献血者与志愿者献血者:27.5%对13.8%;OR = 2.373,95%CI = 0.793,7.107,P = 0.174)。无症状疟疾不受献血者的性别(P = 0.733)、年龄(P = 0.581)、ABO血型(P = 0.433)和恒河猴血型(P = 0.806)的显著影响。观察到年龄对疟原虫密度有显著影响(P = 0.015),21 - 26岁年龄组的献血者风险最高。商业献血者中贫血的患病率显著更高(商业献血者与志愿者献血者:23.4%对3.4%:OR = 8.551,95%CI = 1.135,64.437,P = 0.013),以及O型血献血者中贫血患病率也显著更高(P = < 0.0001)。

结论

商业献血者中无症状疟疾寄生虫血症和贫血的患病率高于自愿献血者。提倡对献血者进行疟疾寄生虫的强制筛查,以遏制输血传播的疟疾及相关后遗症。

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