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首页> 外文期刊>Advances in Epidemiology >Malarial Infection in HIV Infected Pregnant Women Attending a Rural Antenatal Clinic in Nigeria
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Malarial Infection in HIV Infected Pregnant Women Attending a Rural Antenatal Clinic in Nigeria

机译：在尼日利亚的一个农村产前诊所接受HIV感染的孕妇中的疟疾感染

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Malaria still remains a challenging infection affecting the lives of several HIV infected pregnant women in sub-Saharan Africa. This study was undertaken to determine malarial infection in HIV infected pregnant women in relation to sociodemographic and obstetrical factors. The study also assessed relationship between malarial infection and haemoglobin level,CD4+counts, and ART regimen, as well as predisposing risk factors that influenced occurrence of malarial infection in the women. Thick and thin blood smears were prepared and stained with Giemsa. Haemoglobin level was determined using a hematology analyzer, while the flow cytometry was used to measureCD4+counts. Sociodemographic and obstetrical parameters were obtained through the administration of questionnaires. Of the 159 HIV infected pregnant women examined, 33.3% (59/159) had malarial infection. Malarial infection was significantly higher in pregnant women who were divorced, 40.24% (33/82)(χ2=5.72; P=0.05), were at their first trimester (4–12 weeks), 54.8% (17/31)(χ2=14.85; P=0.01), hadCD4+ = [201–500 cells/μL], 42.42% (42/99)(χ2=10.13; P=0.00), and those that had severe anaemia (<8 dg/L), 100.00%(χ2= 45.75; P=0.00). However, risk factors that influenced the occurrence of malarial infection in the pregnant women were occupation (farming)(AOR=0.226; P=0.03), marital status (divorced)(AOR=2.80; P=0.02), gestation (first trimester)(AOR=0.33; P=0.00), haemoglobin level (Hb < 8 dg/L)(AOR=0.02; P=0.00), andCD4+counts (lowCD4+)(OR=0.40; P=0.05). The study reported endemicity of malaria in HIV infected pregnant women living in rural areas of Benue State, Nigeria. Malarial infection was higher in women that were divorced, and at their first trimester, had lowCD4+count, and had severe anaemia. Farming, divorce, gestation, severe anaemia, and lowCD4+counts were predisposing risk factors that influenced malaria occurrence in the HIV infected pregnant women. It is advocated that HIV infected pregnant women should be properly and thoroughly educated on malaria preventive measures in rural areas so as to avoid unpleasant effect of malaria during their pregnancies.
机译：疟疾仍然是具有挑战性的感染，影响了撒哈拉以南非洲几名感染艾滋病毒的孕妇的生活。进行这项研究是为了确定艾滋病毒感染孕妇的疟疾感染与社会人口统计学和产科因素的关系。该研究还评估了疟疾感染与血红蛋白水平，CD4 +计数和抗逆转录病毒治疗方案之间的关系，以及诱发影响妇女疟疾感染发生的易感因素。准备厚薄的血液涂片，并用吉姆萨染色。使用血液分析仪确定血红蛋白水平，同时使用流式细胞仪测量CD4 +计数。社会人口统计学和产科参数通过问卷调查获得。在接受检查的159名受HIV感染的孕妇中，有33.3％（59/159）患有疟疾感染。离婚孕妇的疟疾感染率明显更高，在早孕期（4-12周）为40.24％（33/82）（χ2= 5.72; P = 0.05），为54.8％（17/31）（χ2 = 14.85; P = 0.01），CD4 + = [201-500 cells /μL]，42.42％（42/99）（χ2= 10.13; P = 0.00）和患有严重贫血的人（<8 dg / L）， 100.00％（χ2= 45.75; P = 0.00）。但是，影响孕妇疟疾感染发生的危险因素是职业（农业）（AOR = 0.226; P = 0.03），婚姻状况（离异）（AOR = 2.80; P = 0.02），妊娠（早孕）。 （AOR = 0.33; P = 0.00），血红蛋白水平（Hb <8 dg / L）（AOR = 0.02; P = 0.00）和CD4 +计数（低CD4 +）（OR = 0.40; P = 0.05）。该研究报告说，生活在尼日利亚贝努埃州农村地区的艾滋病毒感染孕妇的疟疾流行。离婚的妇女的疟疾感染率较高，并且在早孕时，CD4 +计数低，并且患有严重的贫血。农业，离婚，妊娠，严重贫血和CD4 +计数低是诱发感染艾滋病毒的孕妇中疟疾发生的危险因素。提倡对受艾滋病毒感染的孕妇进行适当彻底的农村预防疟疾教育，以免在怀孕期间对疟疾产生不良影响。

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