Prevalence of clinical malaria and associated symptoms in pregnant women at Hamusit health center, Northwest Ethiopia

被引:0
|
作者
Almaw, Andargachew [1 ]
Yimer, Mulat [2 ]
Alemu, Megbaru [2 ,3 ]
Belay, Habtamu [4 ]
Alebachew, Mihreteab [5 ]
Abeje, Getu [6 ]
Berhan, Ayenew [1 ]
Tegegne, Banchamlak [7 ]
机构
[1] Debre Tabor Univ, Dept Med Lab Sci, Debre Tabor, Ethiopia
[2] Bahir Dar Univ, Coll Med & Hlth Sci, Bahir Dar, Ethiopia
[3] Univ Queensland, Sch Publ Hlth, Brisbane, Australia
[4] Wolkite Univ, Dept Med Lab Sci, Wolkite, Ethiopia
[5] Wollo Univ, Dept Med Lab Sci, Dessie, Ethiopia
[6] Semera Univ, Dept Med Lab Sci, Semera, Andorra
[7] Amhara Publ Hlth Inst, Bahir Dar, Ethiopia
关键词
Malaria; Symptoms; Pregnant; Prevalence; Ethiopia; RISK-FACTORS; AREA; TRANSMISSION; ANEMIA;
D O I
10.1016/j.heliyon.2024.e34240
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: Malaria is the disease caused by intracellular parasites known as Plasmodium species and is mainly transmitted by blood sucking female Anopheles mosquitoes. During pregnancy, malaria results in severe complications to the mother, the fetus and the newborn. Symptoms of malaria, such as fever, malaise, headache, nausea and vomiting, in pregnant women can be mistakenly attributed solely to pregnancy. In Ethiopia, the prevalence of malaria in asymptomatic pregnant women has been well documented. However, studies indicating the prevalence and clinical presentation of malaria in pregnant women are lacking. Therefore, there is little information on the prevalence of malaria and significantly associated signs and symptoms in pregnant women. The aim of this cross-sectional study was to determine the prevalence of malaria and identify clinical signs and symptoms associated with malaria which suggest presence of malaria in pregnant women at Hamusit Health Center, Northwest Ethiopia. Methods: A health facility-based cross-sectional study was conducted on 231 malaria symptomatic pregnant women from April to June 2023. A convenience sampling technique was employed. The socio demographic and clinical data of the study participants was collected through face-to-face interview using questionnaire. Thick and thin blood films were prepared from capillary blood and stained with 10 % Giemsa. The stained blood smear was washed with clean water, air dried and examined under a light microscope. The Statistical Package for Social Sciences software version 20 (SPSS 20) was used to analyses data. Logistic regression was used to assess signs and symptoms associated with malaria. An adjusted odds ratio with a 95 % confidence interval was calculated, and a P value < 0.05 was considered statistically significant. Results: The overall prevalence of malaria among symptomatic pregnant women in the study area was 22.9 % (53/231) (95 % CI: 17.3-29 %). The most prevalent species was P. falciparum, with a frequency of 14.3 % (33/231) (95 % CI: 10 %-18.6 %), followed by P. vivax, 5.2 % (12/231) (95 % CI: (2.6 %-8.2 %). The remaining 3.5 % (8/231) (95 % CI: 1.8 %-6.7 %) were mixed infections of P. falciparum & P. vivax. . Primigravidae (62.3 %) and first trimester pregnancies (52.8 %) were more affected. Malaria signs and symptoms mainly, fever [(P = 0.002, AOR (95%CI); 5.1(1.84, 14.30)], joint pain [(P = 0.001, AOR (95%CI); 7.8(2.24, 27.32)], vomiting [(P = 0.007, AOR (95%CI); 2.9(1.34, 6.43)], malaise [(P = 0.005, AOR (95%CI); 3.6(1.48, 8.67)] and fatigue [(P = 0.0039, AOR (95%CI); 2.1(1.04, 4.37)], were significantly associated with malaria infection in pregnant women. Conclusions: Malaria positivity in pregnant women with fever, joint pain, vomiting, malaise and fatigue is considerably high in the study area. These signs and symptoms in pregnant women are strong indicators of malaria infection.
引用
收藏
页数:8
相关论文
共 50 条
  • [31] Clinical vitamin-A deficiency and associated factors among pregnant and lactating women in Northwest Ethiopia: a community-based cross-sectional study
    Baytekus, Abebaw
    Tariku, Amare
    Debie, Ayal
    BMC PREGNANCY AND CHILDBIRTH, 2019, 19 (01)
  • [32] Pooled prevalence of malaria and associated factors among vulnerable populations in Ethiopia: a systematic review and meta-analysis
    Demsash, Addisalem Workie
    Worku, Zemene
    Shibabaw, Adamu Ambachew
    Walle, Agmasie Damtew
    Lemu, Jiregna Chalchisa
    Jifar, Wakuma Wakene
    Bekana, Teshome
    Gontie, Girma Bekele
    Tesfahun, Esubalew
    Kitil, Gemeda Wakgari
    Chereka, Alex Ayenew
    Gezimu, Wubishet
    BMC INFECTIOUS DISEASES, 2024, 24 (01)
  • [33] Malaria prevalence, knowledge, attitude, and practice among febrile patients attending Chagni health center, Northwest Ethiopia: a cross-sectional study
    Bogale Belay
    Tegenu Gelana
    Araya Gebresilassie
    Tropical Diseases, Travel Medicine and Vaccines, 7
  • [34] The prevalence of asymptomatic malaria parasitemia and associated factors among adults in Dembia district, northwest Ethiopia, 2017
    Fekadu, Mesafint
    Yenit, Melaku Kindie
    Lakew, Ayenew Molla
    ARCHIVES OF PUBLIC HEALTH, 2018, 76
  • [35] Prevalence and factors associated with intestinal parasites among under-five children attending Woreta Health Center, Northwest Ethiopia
    Habtamu Sewunet Mekonnen
    Daniale Tekelia Ekubagewargies
    BMC Infectious Diseases, 19
  • [36] The prevalence of symptomatic and asymptomatic malaria and its associated factors in Debre Elias district communities, Northwest Ethiopia
    Abebaw, Abtie
    Aschale, Yibeltal
    Kebede, Tadesse
    Hailu, Asrat
    MALARIA JOURNAL, 2022, 21 (01)
  • [37] Factors associated with risk of malaria infection among pregnant women in Lagos, Nigeria
    Agomo, Chimere O.
    Oyibo, Wellington A.
    INFECTIOUS DISEASES OF POVERTY, 2013, 2 : 1 - 8
  • [38] Prevalence of intestinal parasitic infections and associated risk factors among pregnant women attending antenatal care center at Felege Hiwot Referral Hospital, northwest Ethiopia
    Adane Derso
    Endalkachew Nibret
    Abaineh Munshea
    BMC Infectious Diseases, 16
  • [39] Complicated malaria symptoms associated with Plasmodium vivax among patients visiting health facilities in Mendi town, Northwest Ethiopia
    Demissie, Yohannes
    Ketema, Tsige
    BMC INFECTIOUS DISEASES, 2016, 16
  • [40] Malaria associated symptoms in pregnant women followed-up in Benin
    Bich-Tram Huynh
    Nadine Fievet
    Gildas Gbaguidi
    Sophie Borgella
    Blaise Guézo Mévo
    Achille Massougbodji
    Philippe Deloron
    Michel Cot
    Malaria Journal, 10