Malaria and human immunodeficiency virus infection among male employees of a sugar estate in Malawi.
Trans R Soc Trop Med Hyg
; 91(5): 567-9, 1997.
Article
em En
| MEDLINE
| ID: mdl-9463669
ABSTRACT
PIP: 643 adult male employees of the Sugar Corporation of Malawi in Nchalo, Chikwawa District, participated in a cross-sectional study during February-April 1994 to determine the relationship between fever, malaria parasitemia, and HIV infection. Participants underwent routine physical examinations and data were collected on their ages, axillary temperatures, and histories of fever or other illnesses in the 2 weeks before enrollment in the study. Blood was collected and thick blood films prepared and examined for the presence of malaria parasites. Complete information was obtained from 605 subjects, of whom 248 (41%) reported a history of fever, 139 (23%) were HIV positive, and 131 (22%) received an antimalarial drug. Only 15% of fever reporters were parasitemic. HIV infection was significantly associated with fever, but not with parasitemia. Fever reporters and non-fever reporters were of mean ages 32.8 and 33.1 years, respectively. These data suggest that there was both high HIV seroprevalence and considerable overestimation of fever as malaria in this population. This high prevalence of HIV demands the reconsideration of the common practice in Malawi of treating all fever among adults as malaria.
Palavras-chave
Africa; Africa South Of The Sahara; Agricultural Workers--men; Biology; Body Temperature; Developing Countries; Diseases; Eastern Africa; Economic Factors; English Speaking Africa; Examinations And Diagnoses; Fever; Hiv Infections--men; Human Resources; Labor Force; Malaria--men; Malawi; Measurement; Parasitic Diseases; Physical Examinations And Diagnoses; Physiology; Prevalence; Research Methodology; Research Report; Viral Diseases
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Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
/
Parasitemia
/
Doenças dos Trabalhadores Agrícolas
/
Febre
/
Malária
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Humans
/
Male
/
Middle aged
País como assunto:
Africa
Idioma:
En
Ano de publicação:
1997
Tipo de documento:
Article