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Parasitic infections and maternal anaemia among expectant mothers in the Dangme East District of Ghana

Identifieur interne : 000819 ( Pmc/Curation ); précédent : 000818; suivant : 000820

Parasitic infections and maternal anaemia among expectant mothers in the Dangme East District of Ghana

Auteurs : Samuel Crowther Kofi Tay [Ghana] ; Emmanuel Agbeko Nani [Ghana] ; Williams Walana [Ghana]

Source :

RBID : PMC:5217638

Abstract

Background

Parasitic infections are of public health concern globally, particular among at risk groups such as pregnant women in developing countries. The presence of these parasites during pregnancy potentiate adverse effects to both the mother and the unborn baby. This study sought to establish the prevalence of some parasitic agents among antenatal attendees in the Dangme East District of Ghana. A cross-sectional prospective study was conduct between April and July, 2012. Venous blood specimens were collected from each participant for haemoglobin estimation and malaria microscopy. In addition participants’ early morning mid-stream urine and stool specimens were analyzed microscopically for parasitic agents.

Results

A total of 375 pregnant women were involved in the study, of which anaemia was present in 66.4% (249/375). However, parasitic infections associated anaemia prevalence was 49.6% (186/375). In all, 186 cases of parasitic infections were observed; 171 (44.0%) were single isolated infections while 15 (4.0%) were co-infections. Plasmodium species were significantly associated with anaemia (13.3%, χ2 = 23.290, p < 0.001). Also, the presence of Schistosoma haematobium (3.7%, χ2 = 7.267, p = 0.008), Schistosoma mansoni (5.3%, χ2 = 5.414, p = 0.023) and hookworm (3.7%, χ2 = 11.267, p = 0.008) were significantly associated with anaemia in pregnancy. Except where co-infections exist (3.7%, χ2 = 11.267, p = 0.001), the rest of the single infections were insignificantly associated with anaemia. Collectively, intestinal helminthes were predominantly significant with anaemia in pregnancy (p = 0.001, χ2 = 107.800).

Conclusion

The study revealed relatively high prevalence of parasitic infections among the study population, suggesting that about three-quarters of the anaemic mothers are either single or co-infected with parasitic agents.


Url:
DOI: 10.1186/s13104-016-2327-5
PubMed: 28057071
PubMed Central: 5217638

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<name sortKey="Tay, Samuel Crowther Kofi" sort="Tay, Samuel Crowther Kofi" uniqKey="Tay S" first="Samuel Crowther Kofi" last="Tay">Samuel Crowther Kofi Tay</name>
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<nlm:aff id="Aff1">Department of Clinical Microbiology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
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<name sortKey="Nani, Emmanuel Agbeko" sort="Nani, Emmanuel Agbeko" uniqKey="Nani E" first="Emmanuel Agbeko" last="Nani">Emmanuel Agbeko Nani</name>
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<name sortKey="Walana, Williams" sort="Walana, Williams" uniqKey="Walana W" first="Williams" last="Walana">Williams Walana</name>
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<title>Background</title>
<p>Parasitic infections are of public health concern globally, particular among at risk groups such as pregnant women in developing countries. The presence of these parasites during pregnancy potentiate adverse effects to both the mother and the unborn baby. This study sought to establish the prevalence of some parasitic agents among antenatal attendees in the Dangme East District of Ghana. A cross-sectional prospective study was conduct between April and July, 2012. Venous blood specimens were collected from each participant for haemoglobin estimation and malaria microscopy. In addition participants’ early morning mid-stream urine and stool specimens were analyzed microscopically for parasitic agents.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 375 pregnant women were involved in the study, of which anaemia was present in 66.4% (249/375). However, parasitic infections associated anaemia prevalence was 49.6% (186/375). In all, 186 cases of parasitic infections were observed; 171 (44.0%) were single isolated infections while 15 (4.0%) were co-infections.
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species were significantly associated with anaemia (13.3%, χ
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 = 0.008),
<italic>Schistosoma mansoni</italic>
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<sup>2</sup>
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 = 0.001), the rest of the single infections were insignificantly associated with anaemia. Collectively, intestinal helminthes were predominantly significant with anaemia in pregnancy (
<italic>p</italic>
 = 0.001, χ
<sup>2</sup>
 = 107.800).</p>
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<title>Conclusion</title>
<p>The study revealed relatively high prevalence of parasitic infections among the study population, suggesting that about three-quarters of the anaemic mothers are either single or co-infected with parasitic agents.</p>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">BMC Res Notes</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Res Notes</journal-id>
<journal-title-group>
<journal-title>BMC Research Notes</journal-title>
</journal-title-group>
<issn pub-type="epub">1756-0500</issn>
<publisher>
<publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28057071</article-id>
<article-id pub-id-type="pmc">5217638</article-id>
<article-id pub-id-type="publisher-id">2327</article-id>
<article-id pub-id-type="doi">10.1186/s13104-016-2327-5</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Parasitic infections and maternal anaemia among expectant mothers in the Dangme East District of Ghana</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tay</surname>
<given-names>Samuel Crowther Kofi</given-names>
</name>
<address>
<email>scktaysammy9@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nani</surname>
<given-names>Emmanuel Agbeko</given-names>
</name>
<address>
<email>kwame.king@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Walana</surname>
<given-names>Williams</given-names>
</name>
<address>
<email>wwalana@uds.edu.gh</email>
<email>walanawilliams@yahooo.com</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1">
<label>1</label>
Department of Clinical Microbiology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff>
<aff id="Aff2">
<label>2</label>
Department of Clinical Microbiology, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>3</day>
<month>1</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>3</day>
<month>1</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>10</volume>
<elocation-id>3</elocation-id>
<history>
<date date-type="received">
<day>7</day>
<month>6</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>7</day>
<month>12</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2017</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<sec>
<title>Background</title>
<p>Parasitic infections are of public health concern globally, particular among at risk groups such as pregnant women in developing countries. The presence of these parasites during pregnancy potentiate adverse effects to both the mother and the unborn baby. This study sought to establish the prevalence of some parasitic agents among antenatal attendees in the Dangme East District of Ghana. A cross-sectional prospective study was conduct between April and July, 2012. Venous blood specimens were collected from each participant for haemoglobin estimation and malaria microscopy. In addition participants’ early morning mid-stream urine and stool specimens were analyzed microscopically for parasitic agents.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 375 pregnant women were involved in the study, of which anaemia was present in 66.4% (249/375). However, parasitic infections associated anaemia prevalence was 49.6% (186/375). In all, 186 cases of parasitic infections were observed; 171 (44.0%) were single isolated infections while 15 (4.0%) were co-infections.
<italic>Plasmodium</italic>
species were significantly associated with anaemia (13.3%, χ
<sup>2</sup>
 = 23.290,
<italic>p</italic>
 < 0.001). Also, the presence of
<italic>Schistosoma haematobium</italic>
(3.7%, χ
<sup>2</sup>
 = 7.267,
<italic>p</italic>
 = 0.008),
<italic>Schistosoma mansoni</italic>
(5.3%, χ
<sup>2</sup>
 = 5.414,
<italic>p</italic>
 = 0.023) and hookworm (3.7%, χ
<sup>2</sup>
 = 11.267,
<italic>p</italic>
 = 0.008) were significantly associated with anaemia in pregnancy. Except where co-infections exist (3.7%, χ
<sup>2</sup>
 = 11.267,
<italic>p</italic>
 = 0.001), the rest of the single infections were insignificantly associated with anaemia. Collectively, intestinal helminthes were predominantly significant with anaemia in pregnancy (
<italic>p</italic>
 = 0.001, χ
<sup>2</sup>
 = 107.800).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The study revealed relatively high prevalence of parasitic infections among the study population, suggesting that about three-quarters of the anaemic mothers are either single or co-infected with parasitic agents.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Parastic</kwd>
<kwd>Maternal</kwd>
<kwd>Anaemia</kwd>
<kwd>Ghana</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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