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Journal of Advances in Medicine and Medical Research, ISSN: 2456-8899, ISSN: 2231-0614 (Past),Vol.: 25, Issue.: 4


Retrospective Analysis of Malarial Parasitemia and Bacteremia in Febrile Episodes Seen at Tertiary Hospital at Nguru, Nigeria


K. O. Okon1*, M. Y. Bularafa2, S. Pius3, S. T. Balogun4, R. T. Akuhwa3, B. A. Zanna2 and J. O. Onah5

1Department of Medical Microbiology, Federal Medical Centre, Makurdi, Nigeria.

2Department of Medical Laboratory Services, Federal Medical Centre, Nguru, Nigeria.

3Department of Peadiatric, University of Maiduguri Teaching Hospital, Maiduguri Nigeria.

4Department of Clinical Pharmacology and Therapeutics, College of Medical Sciences, University of Maiduguri, Nigeria.

5Clinton Health Access Initiative, Abuja Office, Nigeria.

Article Information


(1) Rodrigo Crespo Mosca, Department of Biotechnology, Institute of Energetic and Nuclear Research (IPEN-CNEN), University of Sao Paulo (USP), Brazil.


(1) Judith Lum Ndamukong Nyanga, Higher Teachers Training College, University of Yaounde I, Cameroon.

(2) Kamgain Mawabo Lugarde, District Hospital of Deido, Cameroon.

(3) Norma-Aurea Rangel-Vazquez, Mexico.

Complete Peer review History:


Background: Febrile episode remains the common clinical presentation responsible for hospital admission among children aged less than 5 years in sub-Saharan African. The overlapping of clinical signs and symptoms, with diverse aetiological agents implicated in febrile illness, tends to compound effective diagnosis and management approach in a low-resource healthcare setting.

Objective: We retrospectively analysed malaria parasitemia and bacteremia results of febrile patients seen at a tertiary hospital in Nguru, Yobe state, Nigeria.

Study Design: A retrospective study analysed malarial parasitemia and bacteremia of febrile patients aged less than 12 years.

Place and Duration of Study: The study was conducted at the federal Medical center Nguru in the department of Medical Microbiology and Paediatric that spanned between January and December 2014.

Methodology: Thick and thin blood smear examination for asexual malarial parasite, blood culture technique for bacterial pathogens isolation, and antibiotic susceptibility testing were employed for the study.

Results: Malarial parasitemia was detected in 44(32.6%) cases, bacterial pathogens isolated in 51(37.8%) and co-infection prevalence of 16.3% respectively. Five different bacterial pathogens were isolated, Staphylococcus aureus accounted for 34(66.9%), Salmonella spp 10(19.6%), Escherichia coli 4(7.8%), Coliforms 2(3.9%) and Streprotococcus pneumoniae 1(2.0%) respectively. The significant statistical difference was observed between clinical details and microbiological indices, malarial parasite (P<0.001) and bacterial pathogens (P<0.0001). High malarial parasitemia and bacteremia was observed within the age-group of 1-11 months and >60 months. The bacterial pathogens demonstrated high resistance pattern to ampicillin and cotrimoxazole.

Conclusion: These findings presented local epidemiological data of febrile episode that could optimized febrile illness diagnosis and management approach.

Keywords :

Febrile illness; malarial parastemia; bacteremia, Nguru.

Full Article - PDF    Page 1-9

DOI : 10.9734/JAMMR/2018/38781

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