Malaria and COVID-19 prevalence in a population of febrile children and adolescents living in Libreville

Southern African Journal of Infectious Diseases

 
 
Field Value
 
Title Malaria and COVID-19 prevalence in a population of febrile children and adolescents living in Libreville
 
Creator Moutombi Ditombi, Bridy C. Pongui Ngondza, Bedrich Manomba Boulingui, Charleine Mbang Nguema, Ornella A. Ndong Ngomo, Jack M. M’Bondoukwé, Noe P. Moutongo, Reinne Mawili-Mboumba, Denise P. Bouyou Akotet, Marielle K.
 
Subject Infectious disease, Paediatrics, Microbiology malaria; COVID-19; co-infection; Gabon; children; adolescents
Description Background: Patients with acute febrile illness need to be screened for malaria and coronavirus disease 2019 (COVID-19) in malaria-endemic areas to reduce malaria mortality rates and to prevent the transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).Objectives: To estimate the frequency of children and adolescents with COVID-19 and/or malaria among febrile patients attending for malaria diagnosisMethod: This cross-sectional study was conducted in a sentinel site for malaria surveillance during the SARS-CoV-2 pandemic (Omicron variant), from October 2021 to December 2021 in Gabon. All febrile patients were tested for malaria using microscopy. Severe acute respiratory syndrome coronavirus 2 was detected by real time polymerase chain reaction (RT-PCR) and rapid antigen tests developed by Sansure Biotech®.Results: A total of 135 patients were screened. Their median age was 6 (interquartile range [IQR]: 3–14) years. Malaria was confirmed for 49 (36.3%) patients, 29 (32.5%) children, 13 (59.0%) adolescents and 7 (29.2%) adults. The frequency of COVID-19 cases was 7.4% (n = 10/135), and it was comparable between children (n = 6; 6.7%), adolescents (n = 2; 9.1%) and adults (n = 2; 8.3%) (p = 0.17). Malaria and COVID-19 co-infections were diagnosed in 3 (6.1%) patients from all the age groups. Participants with a co-infection had a higher median temperature, a higher median parasitaemia, and were mostly infected with non-falciparum malaria.Conclusion: COVID-19 cases and cases of malaria/COVID-19 co-infections were found in febrile children and adolescents. SARS-CoV-2 testing should be included in the screening of suspected malaria cases.Contribution: This study highlights the presence of malaria-COVID-19 coinfection among children and adolescents who should also be screened for both diseases, like for adults. 
 
Publisher AOSIS Publishing
 
Contributor University
Date 2022-10-26
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Prospective, analytical
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajid.v37i1.459
 
Source Southern African Journal of Infectious Diseases; Vol 37, No 1 (2022); 5 pages 2313-1810 2312-0053
 
Language eng
 
Relation
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https://sajid.co.za/index.php/sajid/article/view/459/1077 https://sajid.co.za/index.php/sajid/article/view/459/1078 https://sajid.co.za/index.php/sajid/article/view/459/1079 https://sajid.co.za/index.php/sajid/article/view/459/1080
 
Coverage Africa — —
Rights Copyright (c) 2022 Bridy C. Moutombi Ditombi, Bedrich Pongui Ngondza, Charleine Manomba Boulingui, Ornella A. Mbang Nguema, Jack M. Ndong Ngomo, Noe P. M’Bondoukwé, Reinne Moutongo, Denise P. Mawili-Mboumba, Marielle K. Bouyou Akotet https://creativecommons.org/licenses/by/4.0
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