14 / 18
Page 57
allied
academies
J Parasit Dis Diagn Ther 2017 | Volume 2 Issue 4
International Conference on
Zoology, Microbiology & Medical Parasitology
October 30-November 01, 2017 | Chicago, USA
Background:
Malaria in pregnancy is a major public health
problem in endemic countries. However, there is a paucity
of data on the signs and symptoms of clinical malaria among
pregnant women. This study aimed at documenting the
clinical presentation of malaria among pregnant women.
Methods:
Six hundred pregnant women attending the
maternity clinic of Nanoro District Hospital, Burkina Faso,
were recruited, 200 with suspected clinical malaria and 400
as controls. Cases were matched by gestational age and
parity with controls. Signs and symptoms were collected and
a blood sample taken for rapid diagnostic test, microscopy
and hemoglobin measurement. A multivariate model was
used to assess the predictive value of signs and symptoms
for malaria infection.
Results:
The overall prevalence of malaria was 42.6%
(256/600) while anemia was found in 60.8% (365/600)
women. Nearly half (49.5%) cases and 39.5% controls had
a malaria infection. The most common signs and symptoms
among the cases were fever (36%, 72/200), history of fever
(29%, 58/200) and headache (52%, 104/200). The positive
predictive value for fever was 53% (95%CI: 41-64), history of
fever 58% (95%CI: 37-63) and headache 51% (95%CI: 41-61).
Conclusion:
Signs and symptoms suggestive of malaria are
frequent among pregnant women living in areas of intense
transmission. Common malaria symptoms cannot identify
all infected women. For a better management of malaria in
pregnancy, active screening to early detect and treat malaria
infection should be performed on all pregnant women
attending a health facility
e:
marctahita@yahoo.frClinical signs and symptoms of P. falciparummalaria infection (patent and sub-patent) in pregnant women
living in an area of high seasonal transmission
Marc C Tahita
Research Institute for Health Sciences, Burkina Faso