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Investigation of malaria by microscopy among febrile outpatients of a semi-rural nigerian medical center: What happened to malaria control programs?
| Content Provider | Scilit |
|---|---|
| Author | Michael, Godpower Chinedu Aliyu, Ibrahim Ibrahim, Haliru Olalere, Obadire Samuel Grema, Bukar Alhaji Shittu, Monsur Ajibola Idris, Umma Abah, Sunday |
| Copyright Year | 2019 |
| Abstract | Background: Older reports estimate that malaria accounts for 60% of outpatient clinic encounters in Nigeria. However, current estimates suggest that malaria control programs have considerably reduced malaria-related morbidity and mortality on a global scale. The extent to which these programs impacted malaria prevalence in endemic countries such as Nigeria after the Millennium-Development Goals era may not have been fully appreciated. This study, therefore, assessed how common malaria was among febrile patients attending a semi-rural medical center in Nigeria. Materials and Methods: This was a cross-sectional study involving 290 randomly selected general and pediatric outpatients (who fulfilled inclusion criteria) attending the Federal Medical Centre, Birnin Kudu in August 2016. It assessed participants' clinical features, insecticide-treated net usage and presence of malaria parasitemia (confirmed by microscopy). Results: Participants' overall mean age was 18.4 ± 16.3 years (ranging from 0.25–62.0 years); 146 (50.3%) were females; 73.4% used insecticide-treated-net the previous night. Their mean overall temperature was 37.7°C ± 1.1°C. Overall malaria prevalence was 65.5%; however, the incidence was highest in ≥15 years age-group (30.3%) followed by ≤4 years age group (20.7%). Clinical features predicting malaria parasitemia were pallor (odds ratio [OR] = 5.03, 95% confidence interval [CI] = 1.96–14.42) and history of convulsion (OR = 4.06, 95% CI = 1.53–10.78). Their median parasite density was 1 ± 1.3. Clinical features poorly predicted malaria parasite density among participants. Conclusion: The malaria prevalence in this study was worryingly high. There is a need to review or modify current malaria control programs using more comprehensive strategies if reduction in the malaria-related morbidity and mortality in this and similar settings is desired. |
| Related Links | https://www.njgp.org/article.asp?issn=1118-4647;year=2019;volume=17;issue=1;spage=23;epage=30;aulast=Michael;type=2 |
| File Format | XHTML |
| ISSN | 11184647 |
| e-ISSN | 11184647 |
| DOI | 10.4103/njgp.njgp_5_18 |
| Journal | Nigerian Journal of General Practice |
| Issue Number | 1 |
| Volume Number | 17 |
| Language | English |
| Publisher | Medknow |
| Publisher Date | 2019-01-01 |
| Access Restriction | Open |
| Subject Keyword | Tropical Medicine Febrile Patients Malaria Prevalence Northern Nigeria Rural Nigerian Journal of General Practice, Volume 17, Issue 1 |
| Content Type | Text |
| Resource Type | Article |
