Biochemical characteristics of patients with imported malaria

ObjectivesThis study aimed to investigate the clinical and biochemical profiles of patients with imported malaria infection between 1 January 2011 and 30 April 2022 and admitted to the Fourth People’s Hospital of Nanning.MethodsThis cohort study enrolled 170 patients with conformed imported malaria...

Full description

Bibliographic Details
Main Authors: Dewu Bi, Jianyan Lin, Xiaolu Luo, Lü Lin, Xike Tang, Xiaocheng Luo, Yuexi Lu, Xiaodong Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2022.1008430/full
_version_ 1797988949585559552
author Dewu Bi
Dewu Bi
Jianyan Lin
Jianyan Lin
Xiaolu Luo
Xiaolu Luo
Lü Lin
Lü Lin
Xike Tang
Xike Tang
Xiaocheng Luo
Xiaocheng Luo
Yuexi Lu
Yuexi Lu
Xiaodong Huang
Xiaodong Huang
author_facet Dewu Bi
Dewu Bi
Jianyan Lin
Jianyan Lin
Xiaolu Luo
Xiaolu Luo
Lü Lin
Lü Lin
Xike Tang
Xike Tang
Xiaocheng Luo
Xiaocheng Luo
Yuexi Lu
Yuexi Lu
Xiaodong Huang
Xiaodong Huang
author_sort Dewu Bi
collection DOAJ
description ObjectivesThis study aimed to investigate the clinical and biochemical profiles of patients with imported malaria infection between 1 January 2011 and 30 April 2022 and admitted to the Fourth People’s Hospital of Nanning.MethodsThis cohort study enrolled 170 patients with conformed imported malaria infection. The clinical and biochemical profiles of these participants were analyzed with malaria parasite clearance, and signs and symptoms related to malaria disappearance were defined as the primary outcome. A multivariable logistic regression model was used to evaluate the odds ratios (ORs) with 95% confidence intervals (CIs) for cerebral malaria. The Cox model was used to estimate the hazard ratios (HRs) with 95% CIs for parasite clearance.ResultsAdenosine deaminase and parasitemia were found to be independent risk factors for severe malaria in patients with imported malaria (OR = 1.0088, 95% CI: 1.0010–1.0167, p = 0.0272 and OR = 2.0700, 95% CI: 1.2584–3.4050, p = 0.0042, respectively). A 0.5–standard deviation (SD) increase of variation for urea (HR = 0.6714, 95% CI: 0.4911–0.9180), a 0.5-SD increase of variation for creatinine (HR = 0.4566, 95% CI: 0.2762–0.7548), a 0.25-SD increase of variation for albumin (HR = 0.4947, 95% CI: 0.3197–0.7653), a 0.25-SD increase of variation for hydroxybutyrate dehydrogenase (HR = 0.6129, 95% CI: 0.3995–0.9402), and a 1.0-SD increase of variation for ferritin (HR = 0.5887, 95% CI: 0.3799–0.9125) were associated with a higher risk for increased parasite clearance duration than a low-level change.ConclusionsAspartate aminotransferase, urea, creatinine, albumin, hydroxybutyrate dehydrogenase, and ferritin are useful biochemical indicators in routine clinical practice to evaluate prognosis for imported malaria.
first_indexed 2024-04-11T08:11:26Z
format Article
id doaj.art-4f68cd7df5874400a8dcce967b2e5fb5
institution Directory Open Access Journal
issn 2235-2988
language English
last_indexed 2024-04-11T08:11:26Z
publishDate 2022-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cellular and Infection Microbiology
spelling doaj.art-4f68cd7df5874400a8dcce967b2e5fb52022-12-22T04:35:19ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882022-11-011210.3389/fcimb.2022.10084301008430Biochemical characteristics of patients with imported malariaDewu Bi0Dewu Bi1Jianyan Lin2Jianyan Lin3Xiaolu Luo4Xiaolu Luo5Lü Lin6Lü Lin7Xike Tang8Xike Tang9Xiaocheng Luo10Xiaocheng Luo11Yuexi Lu12Yuexi Lu13Xiaodong Huang14Xiaodong Huang15Department of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaDepartment of Clinical Laboratory, Fourth People’s Hospital of Nanning, Nanning, Guangxi, ChinaAffiliated Infectious Disease Hospital of Nanning, Guangxi Medical University, Nanning, Guangxi, ChinaObjectivesThis study aimed to investigate the clinical and biochemical profiles of patients with imported malaria infection between 1 January 2011 and 30 April 2022 and admitted to the Fourth People’s Hospital of Nanning.MethodsThis cohort study enrolled 170 patients with conformed imported malaria infection. The clinical and biochemical profiles of these participants were analyzed with malaria parasite clearance, and signs and symptoms related to malaria disappearance were defined as the primary outcome. A multivariable logistic regression model was used to evaluate the odds ratios (ORs) with 95% confidence intervals (CIs) for cerebral malaria. The Cox model was used to estimate the hazard ratios (HRs) with 95% CIs for parasite clearance.ResultsAdenosine deaminase and parasitemia were found to be independent risk factors for severe malaria in patients with imported malaria (OR = 1.0088, 95% CI: 1.0010–1.0167, p = 0.0272 and OR = 2.0700, 95% CI: 1.2584–3.4050, p = 0.0042, respectively). A 0.5–standard deviation (SD) increase of variation for urea (HR = 0.6714, 95% CI: 0.4911–0.9180), a 0.5-SD increase of variation for creatinine (HR = 0.4566, 95% CI: 0.2762–0.7548), a 0.25-SD increase of variation for albumin (HR = 0.4947, 95% CI: 0.3197–0.7653), a 0.25-SD increase of variation for hydroxybutyrate dehydrogenase (HR = 0.6129, 95% CI: 0.3995–0.9402), and a 1.0-SD increase of variation for ferritin (HR = 0.5887, 95% CI: 0.3799–0.9125) were associated with a higher risk for increased parasite clearance duration than a low-level change.ConclusionsAspartate aminotransferase, urea, creatinine, albumin, hydroxybutyrate dehydrogenase, and ferritin are useful biochemical indicators in routine clinical practice to evaluate prognosis for imported malaria.https://www.frontiersin.org/articles/10.3389/fcimb.2022.1008430/fullimported malariabiochemical outcomesrisk factorparasite clearanceprognostic model
spellingShingle Dewu Bi
Dewu Bi
Jianyan Lin
Jianyan Lin
Xiaolu Luo
Xiaolu Luo
Lü Lin
Lü Lin
Xike Tang
Xike Tang
Xiaocheng Luo
Xiaocheng Luo
Yuexi Lu
Yuexi Lu
Xiaodong Huang
Xiaodong Huang
Biochemical characteristics of patients with imported malaria
Frontiers in Cellular and Infection Microbiology
imported malaria
biochemical outcomes
risk factor
parasite clearance
prognostic model
title Biochemical characteristics of patients with imported malaria
title_full Biochemical characteristics of patients with imported malaria
title_fullStr Biochemical characteristics of patients with imported malaria
title_full_unstemmed Biochemical characteristics of patients with imported malaria
title_short Biochemical characteristics of patients with imported malaria
title_sort biochemical characteristics of patients with imported malaria
topic imported malaria
biochemical outcomes
risk factor
parasite clearance
prognostic model
url https://www.frontiersin.org/articles/10.3389/fcimb.2022.1008430/full
work_keys_str_mv AT dewubi biochemicalcharacteristicsofpatientswithimportedmalaria
AT dewubi biochemicalcharacteristicsofpatientswithimportedmalaria
AT jianyanlin biochemicalcharacteristicsofpatientswithimportedmalaria
AT jianyanlin biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiaoluluo biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiaoluluo biochemicalcharacteristicsofpatientswithimportedmalaria
AT lulin biochemicalcharacteristicsofpatientswithimportedmalaria
AT lulin biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiketang biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiketang biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiaochengluo biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiaochengluo biochemicalcharacteristicsofpatientswithimportedmalaria
AT yuexilu biochemicalcharacteristicsofpatientswithimportedmalaria
AT yuexilu biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiaodonghuang biochemicalcharacteristicsofpatientswithimportedmalaria
AT xiaodonghuang biochemicalcharacteristicsofpatientswithimportedmalaria