Mass Blood Survey dan Active Case Detection untuk Pengendalian Malaria di Desa Batunampar, Jerowaru, Lombok Timur, NTB  

Oleh:

TAUFIK S, AHMAD ; YUDHANTO, DIDIT ; RIZKI, MOHAMMAD

Jenis: Article from Journal - ilmiah nasional
Dalam koleksi: MEDIKA: Jurnal Kedokteran Indonesia vol. 36 no. 03 (Mar. 2010), page 166-173.
Topik: mass blood survey; active case detection; malaria

Ketersediaan

Perpustakaan FK Nomor Panggil: M40.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Malaria remains a constant problem in coastal area of East Lombok and at a time brings an outbreak. It raises concern on what would be the underlying factors cause the constant burden of malaria. Among many factors, the great number of asymptomatic cases might plays a role in this problem. The number of asymptomatic malaria tends to get higher among residence of endemic area. The rate of asymptomatic malaria in East Lombok coastal area is still unknown. Therefore, it is important to conduct mass blood survey to reveal the rate of asymptomatic malaria in East Lombok coastal area. Method: Mass blood survey was conducted in Batunampar village, East Lombok. Subjects were residences of Batunampar who agreed to participate in the survey. Malaria parasite was detected using rapid diagnostic tests and microscopic examination. Artesunate-amodiaquine was given to subjects with positive results. Mass blood survey on February 2007 was subsequently followed with active case detection from 1 March 2007 to 29 February 2008. Results: Subjects of 3038 out of total 5017 villagers were participa­ted in the mass blood survey. RDTs revealed 15 positive subjects consisted of 10 falciparum positives, 4 vivax positives, and 1 falciparum-vivax mix positive. From 15 positive subjects only 4 subject­s (27%) had fever, the remaining 11 subjects were asymptomatic. All positives subjects were treated with artesunate-amodiaquine. Two subjects were allergic to artesunate-amodiaquine. Active case detection in one year period found 296 fever with no malaria positive. Discussion: Mass blood surve­y was unable to cover 100% population of Batunampar due to high mobility of villagers and the scarcely distributed houses in the large area of the village. The high percentage of asymtomatic subjects depsite of high parasitemia (73%) can be caused by immune status, type of infectuive palsmodium and parasite density. The high asymtomatic insidence of malaria is also recovered in other countries where active blood mass survey are done. Based on the ACD, AMI in batunampar village in 2007 was 59% with API 0%. Conclusion: First, The high rate of asymptomatic malaria found in the positive subjects should bring the issue of asymptomatic malaria in health care planning of health provider in East Lombok. A greater yield study to reveal asymptomatic malaria should be carried out to correctly identify the rate of asymptomatic malaria. Second, since there was a significant discordance between AMI and API, blood film examination should be done to all suspected malarial patients. Third, API should be considered as the best indicator in malarial control programs.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali