首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Demographic risk factors for severe and fatal vivax and falciparum malaria among hospital admissions in northeastern indonesian papua.
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Demographic risk factors for severe and fatal vivax and falciparum malaria among hospital admissions in northeastern indonesian papua.

机译:东北印尼巴布亚住院患者中严重和致命的间日间病毒和恶性疟疾的人口统计学危险因素。

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摘要

Between January 1998 and December 2000, the Jayapura Provincial Public Hospital in northeastern Indonesian New Guinea (Papua) admitted 5,936 patients with a diagnosis of malaria. The microscopic diagnosis at admission was Plasmodium falciparum (3,976, 67%), Plasmodium vivax (1,135, 19%), Plasmodium malariae (8, < 1%), and mixed species infections (817, 14%). Approximately 9% (367) of patients were classified as having severe malaria (277 P. falciparum, 36 P. vivax, 53 mixed infections, and 1 P. malariae) and 88 died (79 P. falciparum/mixed infections and 9 P. vivax). Risk of fatal outcomes among severe malaria patients was indistinguishable between those with falciparum versus vivax malaria (OR = 0.89; P = 0.771). Compared with non-pregnant women, pregnant women showed no higher risk of severe malaria (P = 0.643) or death caused by severe malaria (P = 0.748). This study compares admissions per population (based on census data), parasitemia, morbidity, and mortality among children versus adults, pregnant versus non-pregnant women, and urban/suburban versus rural residents.
机译:1998年1月至2000年12月,印度尼西亚新几内亚(巴布亚)东北部的Jayapura省公立医院收治了5936名诊断为疟疾的患者。入院时的显微镜诊断为恶性疟原虫(3,976,67%),间日疟原虫(1,135,19%),疟原虫(8,<1%)和混合菌感染(817,14%)。约9%(367)的患者被归类为重度疟疾(277恶性疟原虫,间日疟原虫36,混合感染53和1 P.疟疾)和88例死亡(79恶性疟原虫/混合感染和9 P. vivax)。重度疟疾患者中致命危险的风险在恶性疟疾与间日疟原虫之间是无法区分的(OR = 0.89; P = 0.771)。与未怀孕的妇女相比,孕妇没有出现严重疟疾(P = 0.643)或因严重疟疾导致死亡(P = 0.748)的风险。这项研究比较了儿童与成人,孕妇与非孕妇以及城市/郊区与农村居民的人均入院率(基于人口普查数据),寄生虫血症,发病率和死亡率。

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