Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.

<h4>Background</h4>The emergence of dengue in malaria-endemic countries with limited diagnostic resources, such as Yemen, can be problematic because presumptive treatment of febrile cases as being malaria is a common practice. Co-infections with dengue and malaria are often overlooked an...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Rashad Abdul-Ghani, Mohammed A K Mahdy, Sameer Alkubati, Abdullah A Al-Mikhlafy, Abdullah Alhariri, Mrinalini Das, Kapilkumar Dave, Julita Gil-Cuesta
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/caf67dc57179417c85316383eaf39e16
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:caf67dc57179417c85316383eaf39e16
record_format	dspace
spelling	oai:doaj.org-article:caf67dc57179417c85316383eaf39e162021-12-02T20:09:58ZMalaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.1932-620310.1371/journal.pone.0253556https://doaj.org/article/caf67dc57179417c85316383eaf39e162021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253556https://doaj.org/toc/1932-6203<h4>Background</h4>The emergence of dengue in malaria-endemic countries with limited diagnostic resources, such as Yemen, can be problematic because presumptive treatment of febrile cases as being malaria is a common practice. Co-infections with dengue and malaria are often overlooked and misdiagnosed as being a mono-infection because of clinical similarities. In Hodeidah city, Yemen, the capacity to conduct the diagnosis can be aggravated by the war context. To assess the magnitude of the problem, we determined the proportions of malaria, dengue and co-infection in relation to clinical characteristics among febrile outpatients.<h4>Methods</h4>This cross-sectional study included 355 febrile outpatients from Hodeidah city during the malaria transmission season (September 2018 -February 2019). Sociodemographic and clinical characteristics were collected using a pre-designed, structured questionnaire. Malaria was confirmed using microscopy and rapid diagnostic tests (RDTs), while dengue was confirmed using RDTs.<h4>Results</h4>Mono-infection proportions of 32.4% for falciparum malaria and 35.2% for dengue were found, where about two-thirds of dengue patients had a recent probable infection. However, co-infection with falciparum malaria and dengue was detected among 4.8% of cases. There was no statistically significant difference between having co-infection and mono-infection with malaria or dengue in relation to the sociodemographic characteristics. On the other hand, the odds of co-infection were significantly lower than the odds of malaria among patients presenting with sweating (OR = 0.1, 95% CI: 0.05-0.45; p <0.001), while the odds of co-infection were 3.5 times significantly higher than the odds of dengue among patients presenting with vomiting (OR = 3.5, 95% CI: 1.20-10.04; p <0.021). However, there were no statistically significant differences between having co-infection and mono-infection (malaria or dengue) in relation to other clinical characteristics.<h4>Conclusions</h4>Mono-infection with malaria or dengue can be detected among about one-third of febrile outpatients in Hodeidah, while almost 5.0% of cases can be co-infected. Sociodemographic and clinical characteristics cannot easily distinguish malaria patients from dengue-infected or co-infected ones, reinforcing the necessity of laboratory confirmation and avoidance of treating febrile patients as being presumed malaria cases.Rashad Abdul-GhaniMohammed A K MahdySameer AlkubatiAbdullah A Al-MikhlafyAbdullah AlhaririMrinalini DasKapilkumar DaveJulita Gil-CuestaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253556 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Rashad Abdul-Ghani Mohammed A K Mahdy Sameer Alkubati Abdullah A Al-Mikhlafy Abdullah Alhariri Mrinalini Das Kapilkumar Dave Julita Gil-Cuesta Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
description	<h4>Background</h4>The emergence of dengue in malaria-endemic countries with limited diagnostic resources, such as Yemen, can be problematic because presumptive treatment of febrile cases as being malaria is a common practice. Co-infections with dengue and malaria are often overlooked and misdiagnosed as being a mono-infection because of clinical similarities. In Hodeidah city, Yemen, the capacity to conduct the diagnosis can be aggravated by the war context. To assess the magnitude of the problem, we determined the proportions of malaria, dengue and co-infection in relation to clinical characteristics among febrile outpatients.<h4>Methods</h4>This cross-sectional study included 355 febrile outpatients from Hodeidah city during the malaria transmission season (September 2018 -February 2019). Sociodemographic and clinical characteristics were collected using a pre-designed, structured questionnaire. Malaria was confirmed using microscopy and rapid diagnostic tests (RDTs), while dengue was confirmed using RDTs.<h4>Results</h4>Mono-infection proportions of 32.4% for falciparum malaria and 35.2% for dengue were found, where about two-thirds of dengue patients had a recent probable infection. However, co-infection with falciparum malaria and dengue was detected among 4.8% of cases. There was no statistically significant difference between having co-infection and mono-infection with malaria or dengue in relation to the sociodemographic characteristics. On the other hand, the odds of co-infection were significantly lower than the odds of malaria among patients presenting with sweating (OR = 0.1, 95% CI: 0.05-0.45; p <0.001), while the odds of co-infection were 3.5 times significantly higher than the odds of dengue among patients presenting with vomiting (OR = 3.5, 95% CI: 1.20-10.04; p <0.021). However, there were no statistically significant differences between having co-infection and mono-infection (malaria or dengue) in relation to other clinical characteristics.<h4>Conclusions</h4>Mono-infection with malaria or dengue can be detected among about one-third of febrile outpatients in Hodeidah, while almost 5.0% of cases can be co-infected. Sociodemographic and clinical characteristics cannot easily distinguish malaria patients from dengue-infected or co-infected ones, reinforcing the necessity of laboratory confirmation and avoidance of treating febrile patients as being presumed malaria cases.
format	article
author	Rashad Abdul-Ghani Mohammed A K Mahdy Sameer Alkubati Abdullah A Al-Mikhlafy Abdullah Alhariri Mrinalini Das Kapilkumar Dave Julita Gil-Cuesta
author_facet	Rashad Abdul-Ghani Mohammed A K Mahdy Sameer Alkubati Abdullah A Al-Mikhlafy Abdullah Alhariri Mrinalini Das Kapilkumar Dave Julita Gil-Cuesta
author_sort	Rashad Abdul-Ghani
title	Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
title_short	Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
title_full	Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
title_fullStr	Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
title_full_unstemmed	Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
title_sort	malaria and dengue in hodeidah city, yemen: high proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/caf67dc57179417c85316383eaf39e16
work_keys_str_mv	AT rashadabdulghani malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT mohammedakmahdy malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT sameeralkubati malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT abdullahaalmikhlafy malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT abdullahalhariri malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT mrinalinidas malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT kapilkumardave malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected AT julitagilcuesta malariaanddengueinhodeidahcityyemenhighproportionoffebrileoutpatientswithdengueormalariabutlowproportioncoinfected
_version_	1718375089638998016

Malaria and dengue in Hodeidah city, Yemen: High proportion of febrile outpatients with dengue or malaria, but low proportion co-infected.

Ejemplares similares