在被转诊到地区医院的患者中,与严重疟疾相关的因素:卢旺达鲁西西区的一项跨部门研究
Bibiane Uwamahoro1, Cyprien Munyanshongore2, Albert Ndagijimana1
1Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Rwanda journal of medicine and health sciences
|June 26, 2025
概括
严重的疟疾不成比例地影响着卢旺达的幼儿,男性和农民. 改善医疗保健设施的准入对于控制这一公共卫生问题至关重要.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 严重的疟疾是一个重大的全球公共卫生挑战,特别是在撒哈拉以南非洲,该地区占全球疟疾死亡人数的80%以上.
- 卢旺达在2012年至2016年期间报告的疟疾病例增加了大约11倍,严重疟疾病例从2015年的13,092例上升到2016年的17,248例.
研究的目的:
- 在卢旺达的吉洪德韦和米比利齐医院治疗的患者中确定与严重疟疾相关的因素.
主要方法:
- 一项涉及228名被诊断患有疟疾的发烧患者的横截面研究.
- 从患者记录中提取数据,并进行后勤回归分析,以确定与严重疟疾相关的因素.
- 结果使用调整后的几率比率 (aOR) 和95%的置信区间 (CI) 报告.
主要成果:
- 在研究参与者中,严重疟疾的患病率为64.03%.
- 多变量后勤回归确定了与严重疟疾相关的关键因素:五岁以下的儿童 (aOR = 8.169),男性 (aOR = 2.539),农民 (aOR = 2.757),以及对卫生设施的限制 (aOR = 2.740).
结论:
- 在研究区域中,严重的疟疾很普遍,并与几个人口统计和与访问有关的因素有关.
- 干预措施应针对幼儿,男性和农民,并提高疟疾流行地区医疗保健设施的可访问性,以加强控制和预防工作.
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