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Epidemiology of visceral leishmaniasis among children in Gadarif hospital, eastern Sudan
- Source :
- BMC Public Health, Vol 16, Iss 1, Pp 1-4 (2016), BMC Public Health
- Publisher :
- Springer Nature
-
Abstract
- Background Since 1900s, visceral leishmaniasis (VL) has been among the most important health problems in Sudan, particularly in the endemic areas such as eastern and central regions. Methods This was a cross sectional, hospital-based study conducted from 1st January 2015 to 31st December 2015 to investigate the epidemiological factors of VL in Gadarif hospital, eastern Sudan. Results During the study period there were 47 identified children with VL among 145 suspected cases. The most common clinical presentations were fever (47, 100%), pallor (47, 100%), weight loss (40, 85.1%), splenomegaly (37, 78.7%), lymphadenopathy (33, 70.2%), vomiting (32, 68%) cough (28, 59%), loss of appetite (22, 46.8%), diarrhoea (17, 36.1%) and jaundice (5, 10.6%). With regard to the outcome after short term follow up 37 patients (78.8%) improved without complications, while 3 (6.4%, 2 (4.3%), 2 (4.3%), 1 (2.1%), 1 (2.1%) and 1 (2.1%) developed pneumonia, otitis media, septicaemia, urinary tract infection, parasitic infestation and PKDL respectively. Lower mean of haemoglobin level was observed among the VL cases in comparison with the suspected cases (in whom VL was excluded) haemoglobin level {8.9 (3.1) Vs 11 (6.3), P = 0.021}. Again more proportion of anaemic (47 (100%) Vs 14 (14.2%), P = 0.000) and severely anaemic (23 (48.9%) Vs 2 (2%), P = 0.006) patients was detected among the infected children. Using logistic regression analyses there was significant association between rural residence (CI = 1.5–24, OR = 19.1, P = 0.023), male gender (CI = 6.6–18.7, OR = 6.4, P = 0.001) and VL among children. Conclusions While there is an advance in prevention and management of visceral leishmaniasis our results indicate that VL is still a public health problem with its severe complications among children in eastern Sudan.
- Subjects :
- Male
Rural Population
0301 basic medicine
Veterinary medicine
Endemic Diseases
Cross-sectional study
Epidemiology
Sudan
0302 clinical medicine
Residence Characteristics
Child
Children
Visceral leishmaniasis
education.field_of_study
lcsh:Public aspects of medicine
Anemia
Hospitals
Hospitalization
Child, Preschool
Leishmaniasis, Visceral
Female
medicine.symptom
Research Article
medicine.medical_specialty
030231 tropical medicine
030106 microbiology
Population
Anaemia
Pallor
03 medical and health sciences
Age Distribution
Internal medicine
medicine
Humans
Sex Distribution
education
business.industry
Infant, Newborn
Public Health, Environmental and Occupational Health
Infant
Leishmaniasis
lcsh:RA1-1270
medicine.disease
Cross-Sectional Studies
Logistic Models
Otitis
business
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 16
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....eeb50c27d81a4ba3f36b0d08811ce00a
- Full Text :
- https://doi.org/10.1186/s12889-016-3875-2