Plasmodium falciparum infection among neonates in the North Central Region of Nigeria

Introduction: This cross-sectional study investigated the rate of congenital and neonatal malaria infections in patients attending our hospital. Methodology: Thick and thin blood films of 288 neonates admitted in the Special Care Baby Unit of Jos University Teaching Hospital, Nigeria, were examin...

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Main Authors: Caroline Amuche Okoli, Seline Nneaku Okolo, John Chibunkem Collins
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2013-05-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/2775
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author Caroline Amuche Okoli
Seline Nneaku Okolo
John Chibunkem Collins
author_facet Caroline Amuche Okoli
Seline Nneaku Okolo
John Chibunkem Collins
author_sort Caroline Amuche Okoli
collection DOAJ
description Introduction: This cross-sectional study investigated the rate of congenital and neonatal malaria infections in patients attending our hospital. Methodology: Thick and thin blood films of 288 neonates admitted in the Special Care Baby Unit of Jos University Teaching Hospital, Nigeria, were examined microscopically for malaria parasites. Babies’ and mothers’ demographic and clinical data were analyzed. Results: Of 288 blood samples examined, 160 (55.6%) were from males, 115 (39.9%) were from babies 0 to 7 days old, and 173 (60.1%) were from babies 8 to 28 days old. In total, 91 (31.6%) babies had malaria parasitaemia, of whom 49 (53.8%) were males. Malaria was significantly higher in babies 8 to 28 days old (p<0.001) and was independent of gender (p=0.692). Prevalence rates for congenital and neonatal malaria were 6.9% and 24.7% respectively. Clinical presentations on admission included fever, cough, pallor, jaundice, and inability to suck. A total of 145 (50.3%) babies had symptoms of malaria, of whom 56 (61.5%) had malaria parasitaemia. Symptoms of malaria were present in 35 (12.2%) babies of 59 (20.5%) mothers who had symptoms of malaria during pregnancy. Ten (11.0%) of these neonates had malaria parasitaemia, of whom 4 (0.4%) were 0 to -7days old. Plasmodium falciparum was the only specie identified. No mortality was recorded against malaria-infected babies. Conclusion: High prevalence of malaria in these neonates calls for high index of suspicion. Inclusion of malaria parasite test in the routine battery of tests for babies presenting with clinical signs and symptoms of neonatal infections is recommended.
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spelling doaj-art-e65d61cb6df54ffeae4daeb42ea6804e2025-08-20T02:27:23ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802013-05-0170510.3855/jidc.2775Plasmodium falciparum infection among neonates in the North Central Region of NigeriaCaroline Amuche Okoli0Seline Nneaku Okolo1John Chibunkem Collins2University of Jos, Jos, NigeriaUniversity of Jos, Jos, NigeriaUniversity of Jos, Jos, Nigeria Introduction: This cross-sectional study investigated the rate of congenital and neonatal malaria infections in patients attending our hospital. Methodology: Thick and thin blood films of 288 neonates admitted in the Special Care Baby Unit of Jos University Teaching Hospital, Nigeria, were examined microscopically for malaria parasites. Babies’ and mothers’ demographic and clinical data were analyzed. Results: Of 288 blood samples examined, 160 (55.6%) were from males, 115 (39.9%) were from babies 0 to 7 days old, and 173 (60.1%) were from babies 8 to 28 days old. In total, 91 (31.6%) babies had malaria parasitaemia, of whom 49 (53.8%) were males. Malaria was significantly higher in babies 8 to 28 days old (p<0.001) and was independent of gender (p=0.692). Prevalence rates for congenital and neonatal malaria were 6.9% and 24.7% respectively. Clinical presentations on admission included fever, cough, pallor, jaundice, and inability to suck. A total of 145 (50.3%) babies had symptoms of malaria, of whom 56 (61.5%) had malaria parasitaemia. Symptoms of malaria were present in 35 (12.2%) babies of 59 (20.5%) mothers who had symptoms of malaria during pregnancy. Ten (11.0%) of these neonates had malaria parasitaemia, of whom 4 (0.4%) were 0 to -7days old. Plasmodium falciparum was the only specie identified. No mortality was recorded against malaria-infected babies. Conclusion: High prevalence of malaria in these neonates calls for high index of suspicion. Inclusion of malaria parasite test in the routine battery of tests for babies presenting with clinical signs and symptoms of neonatal infections is recommended. https://jidc.org/index.php/journal/article/view/2775Plasmodium falciparumcongenital and neonatal malariaseasonal variationhigh prevalenceJosNigeria
spellingShingle Caroline Amuche Okoli
Seline Nneaku Okolo
John Chibunkem Collins
Plasmodium falciparum infection among neonates in the North Central Region of Nigeria
Journal of Infection in Developing Countries
Plasmodium falciparum
congenital and neonatal malaria
seasonal variation
high prevalence
Jos
Nigeria
title Plasmodium falciparum infection among neonates in the North Central Region of Nigeria
title_full Plasmodium falciparum infection among neonates in the North Central Region of Nigeria
title_fullStr Plasmodium falciparum infection among neonates in the North Central Region of Nigeria
title_full_unstemmed Plasmodium falciparum infection among neonates in the North Central Region of Nigeria
title_short Plasmodium falciparum infection among neonates in the North Central Region of Nigeria
title_sort plasmodium falciparum infection among neonates in the north central region of nigeria
topic Plasmodium falciparum
congenital and neonatal malaria
seasonal variation
high prevalence
Jos
Nigeria
url https://jidc.org/index.php/journal/article/view/2775
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AT johnchibunkemcollins plasmodiumfalciparuminfectionamongneonatesinthenorthcentralregionofnigeria