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J Parasit Dis Diagn Ther 2017

Volume 2 Issue 3

Tropical Medicine 2017

Notes:

Page 40

September 7-8, 2017 | Edinburgh, Scotland

4

th

International Conference on

Tropical Medicine, Infectious Diseases & Public Health

EPIDEMIOLOGY OF VISCERAL

LEISHMANIASIS IN BARINGO COUNTY,

KENYA

Jane Mbui

a

, Peter Kioko

a,b

, Robert Kimutai

c

and Monique Wasunna

c

a

Kenya Medical Research Institute, Kenya

b

Kimalel Health Centre, Kenya

c

Drugs for Neglected Diseases Initiative (DNDi), Kenya

Introduction:

Visceral Leishmaniasis (VL) or kala-azar is a

disease caused by protozoan parasites of the genus Leishmania

and transmitted by a bite of infected sandflies of the genus

Phlebotomus .VL is fatal if left untreated. The disease is found

in the arid and semi-arid regions of Kenya such as Baringo

and West Pokot Counties.

Methods:

A retrospective observational study was conducted

during 7 years (2010-2016) at Kimalel Health Centre, in

Baringo County. Data from patients treated at the Centre

during the 7 years was analyzed for variables such as age, sex,

method of diagnosis and seasonal variation.

Results:

A total of 613 patients were diagnosed with VL and

treated between 2010 and 2016. 70% of cases were diagnosed

via splenic aspiration while the rest were diagnosed by rK39

rapid antibody test. 55% of all patients were below 14 years

old with a predominance of males (76%). Only one case of

VL/HIV Co-infection was reported during this period.

There was no seasonal pattern for the disease with cases seen

throughout the year. Majority of patients (75%) were treated

with the combination of Sodium Stibogluconate (SSG) and

Paramomycin (PM).

Conclusion:

These results confirm that VL remains endemic

in some parts of Kenya such as Baringo County. The disease

mainly affects young children <14 years, and males are

predominantly affected with a female to male ratio of 1:3.

The most common method of diagnosis at Centre is splenic

aspiration, and combination therapy is the mainstay of

treatment.

Biography

Jane Mbui graduated from The University of Nairobi, Kenya, as a Medical

Doctor, with a bachelor’s degree in Medicine and Surgery M.B.Ch.B. He worked

at Mwingi District Hospital, Kitui County, Kenya, as an intern and rotated in

Internal Medicine, Paediatrics, Surgery and Obstetrics & Gynaecology for

a period of one year. He worked at Mwingi District Hospital, Kitui County,

Kenya, as an intern and rotated in Internal Medicine, Paediatrics, Surgery and

Obstetrics & Gynaecology for a period of one year. Thereafter, he joined Kenya

Medical Research Institute (KEMRI) where he has continued his research.

Presently he is working at the Kimalel Leishmaniasis Research and Treatment

Center located in Baringo County, Kenya as the clinical site investigator.

jmbui@kemri.org

Jane Mbui et al., J Parasit Dis Diagn Ther 2017