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首页> 外文期刊>Journal of Rural and Remote Environmental Health >The effect of insecticide treated bed net use on malaria episodes, parasiteamia and heamoglobin concentration among primigravidae in a peri-urban settlement in southeast Nigeria
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The effect of insecticide treated bed net use on malaria episodes, parasiteamia and heamoglobin concentration among primigravidae in a peri-urban settlement in southeast Nigeria

机译：杀虫剂处理的蚊帐对尼日利亚东南部城市郊区定居点疟原虫疟疾发作，寄生虫血症和血红蛋白浓度的影响

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Between 80-90% of the world’s malaria cases occur in sub Sahara Africa and approximately 19 -24 million pregnant women are at risk for malaria and its adverse consequences. The major impact of Malaria in pregnancy has severe negative effects on maternal health and birth outcomes including maternal anaemia, high incidence of miscarriages and low birth weight. Primigravidae and secundigravidae are most at risk. Due to increased and spreading malaria parasite resistance to first line antimalarials like chloroquine and sulphadoxine–Pyrimethamine in sub-Saharan Africa, the available tools for malaria control in pregnancy are now very limited. One of the most commonly used tool for preventing malaria in pregnancy is insecticide treated bed nets (ITNs), which have been shown to reduce the number of infective mosquito bites by 70-90% in a variety of ecologic settings. In Nigeria, the current use of ITNs among pregnant women and children under 5 years, is just 1%, according to the Nigeria Demographic and Health Survey (NDHS). This study aimed at examining the effects of the use of ITNs on episodes of uncomplicated malaria, frequencies of malaria parasitaemia and anaemia among two hundred and eight primigravidae. The design was an analytical case control. One hundred and four subjects received ITNs between August 2003 and January 2004 and the other 104 subjects acted as controls. Data were obtained using the new World Health Organization antenatal care classifying form and the basic component checklist, and a structured interviewer-administered, 30-item questionnaire. Laboratory tests were done to obtain data on episodes of malaria, levels of malaria parasitaemia, mean haemoglobin concentration and anaemia. The results in test group showed 28.9% and 20% reduction in episodes of uncomplicated malaria and in frequency of malaria parasitaemia at 38 weeks gestation, respectively. However, there was no difference in mean haemoglobin concentration and in frequency anaemia between the test and control groups. The use of ITNs by primigravidae in this peri-urban settlement in south eastern Nigeria, showed significant reductions in episodes of uncomplicated malaria and malarial parasitaemia.
机译：世界上80％至90％的疟疾病例发生在撒哈拉以南非洲，大约19 -24百万孕妇面临疟疾及其不良后果的风险。疟疾对怀孕的主要影响对孕产妇的健康和出生结局具有严重的负面影响，包括孕产妇贫血，高流产率和低出生体重。初孕科和次生殖科的风险最高。由于撒哈拉以南非洲对一线抗疟药（例如氯喹和磺胺多辛-乙胺嘧啶）的疟疾寄生虫抵抗力不断增加和蔓延，目前可用于控制孕妇疟疾的工具非常有限。预防孕妇疟疾最常用的工具之一是经过杀虫剂处理的蚊帐（ITN），在各种生态环境中，蚊帐的感染叮咬数量减少了70-90％。根据尼日利亚人口与健康调查（NDHS），在尼日利亚，目前孕妇和5岁以下儿童中使用ITN的比例仅为1％。这项研究的目的是检查使用ITN对208例初生婴儿中无并发症的疟疾发作，疟疾寄生虫血症和贫血发生率的影响。该设计是一个分析案例控件。在2003年8月至2004年1月之间，一百零四名受试者接受了ITN，其他104名受试者作为对照。数据是使用新的世界卫生组织产前保健分类表和基本组成清单以及结构化的访调员管理的30项调查表获得的。进行了实验室测试，以获取有关疟疾发作，疟疾寄生虫血症水平，平均血红蛋白浓度和贫血的数据。测试组的结果显示，妊娠38周时，单纯性疟疾发作和疟原虫血症发生率分别降低了28.9％和20％。但是，测试组和对照组之间的平均血红蛋白浓度和频率性贫血没有差异。在尼日利亚东南部这个城郊定居点中，初生蜥蜴使用ITN的情况表明，未并发症的疟疾和疟疾寄生虫病的发病率显着降低。

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