Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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2022
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اپیدمیولوژی توصیفی بیماران ثبت شده مالاریا از سال 1380 الی 1399 در جمعیت تحت پوشش دانشگاه علوم پزشکی مازندران
Descriptive Epidemiology of Malaria Cases in the Population Covered by Mazandaran University of Medical Sciences,
2001-2020
انگل شناسي
parasitology
پژوهشي-کامل
Research(Original)
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="FA" style="font-family:"B Zar""><span style="color:black">مالاریا یکی از عفونت</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های ناشی از انگل</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های داخل خون است. علی</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">رغم اقدامات صورت گرفته جهت پیشگیری و درمان مالاریا، هنوز به عنوان یکی از مشکلات سلامت در برخی از نقاط ایران مطرح می</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">گردد. مطالعه حاضر با هدف بررسی ویژگی</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های دموگرافیکی و کلینیکی بیماران مبتلا به مالاریا از سال 1380 الی 1399 در جمعیت تحت پوشش دانشگاه علوم پزشکی مازندران، انجام پذیرفت</span></span><span dir="LTR" style="color:black">.</span><span lang="FA" style="line-height:87%"><span style="font-family:"B Zar""><span style="color:#0e101a"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:87%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">در این مطالعه توصیفی، کل موارد مثبت مالاریا ثبت شده در مرکز مدیریت بیمارهای معاونت بهداشتی</span></span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black"> استان مازندران از سال</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های 1380 تا 1399 به صورت سرشماری وارد مطالعه شدند. جهت گردآوری داده</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های مورد نیاز از اطلاعات ثبت شده شبکه</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های بهداشت و معاونت بهداشتی استان مازندران استفاده شد. داده</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های به دست آمده در مطالعه توسط نرم</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">افزار آماری</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%"><span style="color:black">SPSS </span></span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">نسخه 23 تجزیه و تحلیل شدند.</span></span><span lang="FA" style="line-height:87%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:87%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="FA" style="font-family:"B Zar""><span style="color:black">مجموعا 649 بیمار در بازه زمانی مورد نظر ثبت شدند که 591 بیمار (91/1 درصد) مرد و مابقی زن بودند. میانگین سنی بیماران وارد شده در مطالعه 10/1</span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:87%"><span style="color:black">±</span></span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">26 سال بود. بیش</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">ترین و کم</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">ترین فراوانی نسبی مالاریا به ترتیب در گروه سنی 20 تا 29 سال (49/5 در هر صد هزار نفر) و گروه سنی 70 سال و بالاتر (6 در هر میلیون نفر) مشاهده شد. شایع</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">ترین انگل، <i>پلاسمودیوم ویواکس</i> بود که در 624 بیمار (96/6 درصد) مشاهده شد. شایع</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">ترین فصل درگیری بهار، و شیوع مالاریا در بازه</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">ی زمانی مورد نظر در حال کاهش بوده است</span></span><span dir="LTR" style="color:black">.</span><span lang="FA" style="line-height:87%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="font-family:"B Zar""><span style="color:black">اگر چه روند رو به کاهش در طی سال</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های 1380 تا 1399 برای موارد ثبت شده از مالاریا مشاهده شد. اما در نظر گرفتن مولفه </span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎ </span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های اجتماعی، اقتصادی و جمعیت شناختی در درک اپیدمیولوژی توصیفی این بیماری و پیش</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">بینی کانون</span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های انتقال می </span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">تواند بسیار کمک </span></span><span lang="AR-BH" style="line-height:87%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">کننده باشد.</span></span><span lang="AR-SA" style="line-height:87%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:87%"><span style="tab-stops:284.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-size:8.0pt"><span style="line-height:87%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></span></span></span></span></span></span>
<span style="font-size:12pt"><span style="line-height:135%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">Malaria is one of the infections caused by parasites in the blood. Despite preventive measures and treatments, it is still considered as one of the health problems in some parts of Iran. The aim of this study was to investigate the demographic and clinical characteristics of patients with malaria in the population covered by Mazandaran University of Medical Sciences between 2001 and 2020.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">In this descriptive study, all positive cases of malaria registered in the Patient Management Center in Mazandaran Health Department (2001-2020) were included by census.</span></span> <span style="font-size:10.0pt"><span style="line-height:135%">Data were obtained from Health Network and Health Deputy in Mazandaran province. Statistical analysis was performed in SPSS V23.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">A total of 649 patients were found, including 591 (91.1%) men. The mean age of patients was 26±10.1 years. The patients mainly aged 20</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:135%">-29years (49.5 per 100,000) and the lowest rate of infection was found in cases of >70 years old (6 per 1000,000). <i>Plasmodium vivax</i> was the most common parasite (96.6%, n=624). Malaria transmission occurred most in spring and </span></span><span style="font-size:10.0pt"><span style="line-height:135%">malaria cases declined in this period. </span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">Malaria cases showed a decreasing trend during the study period, however, socioeconomic and demographic factors could be of great value in understanding the epidemiology of the disease and predicting the foci eras.</span></span><i><span style="font-size:10.0pt"><span style="line-height:135%"></span></span></i></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="tab-stops:121.45pt"><span style="font-family:"Times New Roman","serif""><b><i><span style="font-size:10.0pt"><span style="line-height:135%"></span></span></i></b></span></span></span></span>
مالاریا, پلاسمودیوم ویواکس, پلاسمودیوم فالسیپاروم, اپیدمیولوژی
Malaria, Plasmodium vivax, Plasmodium falciparum, epidemiology
95
103
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-15477-1&slc_lang=fa&sid=1
Meysam
Rezapour
میثم
رضاپور
meysam.rezapour@gmail.com
1003194753284600150165
1003194753284600150165
No
Assistant Professor, Department of Paramedicine, Amol Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، دانشکده پیراپزشکی آمل، دانشگاه علوم پزشکی مازندران، ساری،ایران
Sajjad
Saeedfar
سجاد
سعیدفر
sajjad.saeedfar44253298@gmail.com
1003194753284600150164
1003194753284600150164
No
Medical Student, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
دانشجوی پزشکی عمومی، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی مازندران، ساری،ایران
Hajar
Ziaei Hezarjaribi
هاجر
ضیایی هزار جریبی
ziaei2000@yahoo.com
1003194753284600150163
1003194753284600150163
No
Associate Professor, Department of Parasitology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه انگلشناسی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری،ایران
Mahbobeh
Montazeri
محبوبه
منتظری
m.montazeri@yahoo.com
1003194753284600150166
1003194753284600150166
No
PhD in Medical Parasitology, Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
دکتری انگلشناسی، مرکز تحقیقات توکسوپلاسموز، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری،ایران
Seif Ali
Mahdavi
سیف علی
مهدوی
seifalimahdavi@gmail.com
1003194753284600150162
1003194753284600150162
Yes
Assistant Professor, Department of Paramedicine, Amol Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، دانشکده پیراپزشکی آمل، دانشگاه علوم پزشکی مازندران، ساری،ایران