A malaria control program's effect on paediatric transfusion

Background and Objectives  Paediatric malaria is one of the leading causes for blood transfusion in sub‐Saharan Africa. Malaria not only causes severe, sometimes life‐threatening anaemia, but it leads to the exposure to a blood supply that may result in viral disease transmission. This study determi...

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Published in:Vox sanguinis 2010-11, Vol.99 (4), p.314-318
Main Authors: Delaney, M., Somuah, D.
Format: Article
Language:English
Subjects:
Africa
Blood Transfusion
Blood transfusions
Child
Child, Preschool
Communicable Disease Control
Disease control
Female
Ghana
global health
Hemoglobins - metabolism
Humans
Infant
Infant, Newborn
Malaria
Malaria - blood
Malaria - epidemiology
Malaria - transmission
Male
National Health Programs
paediatric transfusion
Pediatrics
Public health
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container_title Vox sanguinis
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creator Delaney, M.
Somuah, D.
description Background and Objectives  Paediatric malaria is one of the leading causes for blood transfusion in sub‐Saharan Africa. Malaria not only causes severe, sometimes life‐threatening anaemia, but it leads to the exposure to a blood supply that may result in viral disease transmission. This study determined the frequency of paediatric malaria and transfusion for malaria before and after implementation of a Malaria Control Program in one of Ghana’s districts. Materials and Methods  Paediatric patients’ malaria test results and blood transfusions were reviewed during two time periods: before Malaria Control Program implementation (2003) and after (2009). Results were analysed using descriptive and bivariate statistics. Results  The number of paediatric malaria cases confirmed by laboratory testing declined by 40·7% after implementation of the program. The number of paediatric patients transfused decreased by 12·8% (P 
doi_str_mv 10.1111/j.1423-0410.2010.01354.x
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Malaria not only causes severe, sometimes life‐threatening anaemia, but it leads to the exposure to a blood supply that may result in viral disease transmission. This study determined the frequency of paediatric malaria and transfusion for malaria before and after implementation of a Malaria Control Program in one of Ghana’s districts. Materials and Methods  Paediatric patients’ malaria test results and blood transfusions were reviewed during two time periods: before Malaria Control Program implementation (2003) and after (2009). Results were analysed using descriptive and bivariate statistics. Results  The number of paediatric malaria cases confirmed by laboratory testing declined by 40·7% after implementation of the program. The number of paediatric patients transfused decreased by 12·8% (P &lt; 0·005). Of those patients tested for malaria, the frequency of transfusion was lower in 2009 (11·3%) compared to 2003 (24·1%, P &lt; 0·005). Gender and age were not associated with altered rates of transfusion. Average haemoglobin was higher in 2009 (10·4 ± 2·0 g/dl) compared to 2003 (8·7 ± 2·1 g/dl, P &lt; 0·005). During both periods of study, malaria positive patients who were 0–5 years were more likely to be transfused (47·6% in 2003, 75% in 2009) compared to children 5–9 years (17·3% in 2003, 18·8% in 2009). Conclusion  The implementation of malaria control led to fewer paediatric patients with laboratory‐confirmed malaria and fewer requiring blood transfusion. Such programs may reduce morbidity and mortality directly, while limiting exposure to blood transfusion.</description><identifier>ISSN: 0042-9007</identifier><identifier>EISSN: 1423-0410</identifier><identifier>DOI: 10.1111/j.1423-0410.2010.01354.x</identifier><identifier>PMID: 20546204</identifier><identifier>CODEN: VOSAAD</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Africa ; Blood Transfusion ; Blood transfusions ; Child ; Child, Preschool ; Communicable Disease Control ; Disease control ; Female ; Ghana ; global health ; Hemoglobins - metabolism ; Humans ; Infant ; Infant, Newborn ; Malaria ; Malaria - blood ; Malaria - epidemiology ; Malaria - transmission ; Male ; National Health Programs ; paediatric transfusion ; Pediatrics ; Public health</subject><ispartof>Vox sanguinis, 2010-11, Vol.99 (4), p.314-318</ispartof><rights>2010 The Author(s). Vox Sanguinis © 2010 International Society of Blood Transfusion</rights><rights>2010 The Author(s). Vox Sanguinis © 2010 International Society of Blood Transfusion.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4164-bf3414df26d80418cfb8ccde1bf9298565f75ce2e702ff77e2e72cf763379d653</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20546204$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delaney, M.</creatorcontrib><creatorcontrib>Somuah, D.</creatorcontrib><title>A malaria control program's effect on paediatric transfusion</title><title>Vox sanguinis</title><addtitle>Vox Sang</addtitle><description>Background and Objectives  Paediatric malaria is one of the leading causes for blood transfusion in sub‐Saharan Africa. Malaria not only causes severe, sometimes life‐threatening anaemia, but it leads to the exposure to a blood supply that may result in viral disease transmission. This study determined the frequency of paediatric malaria and transfusion for malaria before and after implementation of a Malaria Control Program in one of Ghana’s districts. Materials and Methods  Paediatric patients’ malaria test results and blood transfusions were reviewed during two time periods: before Malaria Control Program implementation (2003) and after (2009). Results were analysed using descriptive and bivariate statistics. Results  The number of paediatric malaria cases confirmed by laboratory testing declined by 40·7% after implementation of the program. The number of paediatric patients transfused decreased by 12·8% (P &lt; 0·005). Of those patients tested for malaria, the frequency of transfusion was lower in 2009 (11·3%) compared to 2003 (24·1%, P &lt; 0·005). Gender and age were not associated with altered rates of transfusion. Average haemoglobin was higher in 2009 (10·4 ± 2·0 g/dl) compared to 2003 (8·7 ± 2·1 g/dl, P &lt; 0·005). During both periods of study, malaria positive patients who were 0–5 years were more likely to be transfused (47·6% in 2003, 75% in 2009) compared to children 5–9 years (17·3% in 2003, 18·8% in 2009). Conclusion  The implementation of malaria control led to fewer paediatric patients with laboratory‐confirmed malaria and fewer requiring blood transfusion. Such programs may reduce morbidity and mortality directly, while limiting exposure to blood transfusion.</description><subject>Africa</subject><subject>Blood Transfusion</subject><subject>Blood transfusions</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Communicable Disease Control</subject><subject>Disease control</subject><subject>Female</subject><subject>Ghana</subject><subject>global health</subject><subject>Hemoglobins - metabolism</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Malaria</subject><subject>Malaria - blood</subject><subject>Malaria - epidemiology</subject><subject>Malaria - transmission</subject><subject>Male</subject><subject>National Health Programs</subject><subject>paediatric transfusion</subject><subject>Pediatrics</subject><subject>Public health</subject><issn>0042-9007</issn><issn>1423-0410</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqFkT1PwzAQhi0EoqXwF1DEwpTiz9iRYICKUkQFDEDZLNexUUo-ip2I9t_jUOjAgofzyfe8p_O9AEQIDlE4Z4shopjEkIYHDEOAiDA6XO2A_rawC_oQUhynEPIeOPB-ASEUWLB90MOQ0QRD2gfnl1GpCuVyFem6alxdREtXvzlVnvrIWGt0E9VVtFQmy1Xjch01TlXetj6vq0OwZ1XhzdHPPQDP4-un0SSePtzcji6nsaYoofHcEopoZnGSiTCZ0HYutM4MmtsUp4IlzHKmDTYcYms57zKsLU8I4WmWMDIAp5u-YbSP1vhGlrnXpihUZerWyxSFvpRT-C_JmRBECC4CefKHXNStq8I3viGapogE6PgHauelyeTS5aVya_m7vwBcbIDPvDDrbR1B2fkkF7KzQ3Z2yM4n-e2TXMmXh9cuC_p4o899Y1ZbvXLvMuGEMzm7v5Hi7mryOEvGcka-AP1Ukyk</recordid><startdate>201011</startdate><enddate>201011</enddate><creator>Delaney, M.</creator><creator>Somuah, D.</creator><general>Blackwell Publishing Ltd</general><general>S. 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Malaria not only causes severe, sometimes life‐threatening anaemia, but it leads to the exposure to a blood supply that may result in viral disease transmission. This study determined the frequency of paediatric malaria and transfusion for malaria before and after implementation of a Malaria Control Program in one of Ghana’s districts. Materials and Methods  Paediatric patients’ malaria test results and blood transfusions were reviewed during two time periods: before Malaria Control Program implementation (2003) and after (2009). Results were analysed using descriptive and bivariate statistics. Results  The number of paediatric malaria cases confirmed by laboratory testing declined by 40·7% after implementation of the program. The number of paediatric patients transfused decreased by 12·8% (P &lt; 0·005). Of those patients tested for malaria, the frequency of transfusion was lower in 2009 (11·3%) compared to 2003 (24·1%, P &lt; 0·005). Gender and age were not associated with altered rates of transfusion. Average haemoglobin was higher in 2009 (10·4 ± 2·0 g/dl) compared to 2003 (8·7 ± 2·1 g/dl, P &lt; 0·005). During both periods of study, malaria positive patients who were 0–5 years were more likely to be transfused (47·6% in 2003, 75% in 2009) compared to children 5–9 years (17·3% in 2003, 18·8% in 2009). Conclusion  The implementation of malaria control led to fewer paediatric patients with laboratory‐confirmed malaria and fewer requiring blood transfusion. Such programs may reduce morbidity and mortality directly, while limiting exposure to blood transfusion.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20546204</pmid><doi>10.1111/j.1423-0410.2010.01354.x</doi><tpages>5</tpages></addata></record>
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1423-0410
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subjects Africa
Blood Transfusion
Blood transfusions
Child
Child, Preschool
Communicable Disease Control
Disease control
Female
Ghana
global health
Hemoglobins - metabolism
Humans
Infant
Infant, Newborn
Malaria
Malaria - blood
Malaria - epidemiology
Malaria - transmission
Male
National Health Programs
paediatric transfusion
Pediatrics
Public health
title A malaria control program's effect on paediatric transfusion
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