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首页> 外文期刊>Journal of Parasitology >MALARIA AND HELMINTH CO-INFECTION IN CHILDREN LIVING IN A MALARIA ENDEMIC SETTING OF MOUNT CAMEROON AND PREDICTORS OF ANEMIA
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MALARIA AND HELMINTH CO-INFECTION IN CHILDREN LIVING IN A MALARIA ENDEMIC SETTING OF MOUNT CAMEROON AND PREDICTORS OF ANEMIA

机译：生活在山区喀麦隆疟疾流行区和贫血预测人群中的儿童疟疾和蠕虫共感染

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A study was carried out with 425 children aged 0–14 yr residing in Bolifamba, Cameroon, to investigate the effect of Plasmodium falciparum malaria and intestinal helminth coinfection on anemia and to identify significant predictors of anemia in the community. Blood was collected by finger prick to determine malaria parasitemia and packed cell volume (PCV). The Kato-Katz technique was used to assess the prevalence and egg load of intestinal helminths. The prevalence of P. falciparum malaria, intestinal helminth infections, and coinfection was 64.2%, 38.3%, and 24.7%, respectively. Coinfections in which heavy helminth loads were detected had corresponding high mean P. falciparum parasite loads >5,000/μl compared with coinfections involving light helminth burden. The overall prevalence of anemia was 30.8%. Anemia prevalence increased significantly with P. falciparum parasite load >5,000/μl compared with lower densities (χ2 = 6.734, P = 0.034). Anemia prevalence was significantly higher in febrile children compared with nonfebrile children (χ2 = 6.041, P = 0.014). Children infected exclusively with P. falciparum recorded the highest prevalence of anemia compared with uninfected children, those with coinfections, and those harboring only helminths. This difference in prevalence was significant (χ2 = 6.734, P = 0.031). Multiple regression analysis exposed fever (P > 0.001) and age (P = 0.004) as significant predictors of anemia.
机译：对居住在喀麦隆Bolifamba的425名0-14岁儿童进行了一项研究，以调查恶性疟原虫疟疾和肠道蠕虫共感染对贫血的影响，并确定社区贫血的重要预测因素。通过手指刺血收集血液，以确定疟疾寄生虫血症和堆积细胞体积（PCV）。 Kato-Katz技术用于评估肠道蠕虫的患病率和卵负荷。恶性疟原虫疟疾，肠道蠕虫感染和合并感染的患病率分别为64.2％，38.3％和24.7％。与涉及轻度蠕虫负担的合并感染相比，其中检测到重蠕虫负荷的合并感染具有相对较高的平均恶性疟原虫寄生虫负载> 5,000 /μl。贫血的总体患病率为30.8％。与较低的密度相比，恶性疟原虫的寄生虫负荷> 5,000 /μl时贫血患病率显着增加（χ2= 6.734，P = 0.034）。与非发热儿童相比，发热儿童的贫血患病率明显更高（χ2= 6.041，P = 0.014）。与未感染，合并感染和仅感染蠕虫的儿童相比，仅感染恶性疟原虫的儿童患贫血的发生率最高。患病率的这种差异非常显着（χ2= 6.734，P = 0.031）。多元回归分析显示，发烧（P> 0.001）和年龄（P = 0.004）是贫血的重要预测指标。

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