印度德里疟疾流行病学,临床特征和并发感染:一项基于医院的研究
Joseph Hawadak1, Anandi Goel2, Monika Matlani2
1Cell biology laboratory and Malaria Parasite Bank, ICMR-National Institute of Malaria Research (NIMR), New Delhi, India.
Journal of infection and public health
|October 18, 2025
概括
疟疾是由活菌和菌菌引起的,影响了德里2.07%的患者. 季风季节和男性性别被确定为疟疾感染的风险因素.
科学领域:
- 医学昆虫学 医学昆虫学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 疟疾仍然是印度的重大公共卫生挑战,需要持续的监测和分析.
- 了解时间趋势,临床表现和风险因素对于有效的控制策略至关重要.
研究的目的:
- 分析德里一家政府医院的患者的时间趋势,临床特征,并发感染和疟疾决定因素.
- 确定与疟疾感染和共感染相关的风险因素.
主要方法:
- 从2022年7月到2023年11月进行了一项纵向研究,涉及发烧患者.
- 患者接受了临床和生物检查,包括快速疟疾抗原测试,光显微镜和同时感染的血清学测试.
主要成果:
- 在4259名发烧患者中,有87名 (2.04%) 感染了活菌或菌.
- 常见的症状包括寒,肝炎,肌痛,身体疼痛和黄. 报告了严重的疟疾病例,特别是严重的贫血.
- 近45%的疟疾病例与登革热, chikungunya 或沙门氏菌伤寒同时感染. 7月至9月期间和男性性别是疟疾的重要风险因素.
结论:
- 在2.07%的患者中观察到Plasmodium vivax和Plasmodium falciparum感染,在2022年至2023年之间观察到略有增加.
- 虽然没有因素与共感染或严重疟疾相关,但季风季节 (7月至9月) 和男性性别被确定为疟疾感染的风险因素.
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