title: Prevalence and Severity of Malaria Parasitemia among Children Requiring Emergency Blood Transfusion in a Tertiary Hospital in Imo State, Nigeria.
abstract: BACKGROUND
  Malaria is one of the most serious and complex health problems in Sub Saharan Africa. Anemia in Children with malaria may require blood transfusion and has been be associated with high mortality rates.
  
  
  OBJECTIVE
  The aim of this study is to evaluate the prevalence, pattern, and severity of malaria parasitemia among children 6 months to 14 years old, requiring blood transfusion.
  
  
  METHODS
  This is a cross-sectional study carried out at the children emergency unit of the Imo state University Teaching Hospital South East Nigeria. Data were analyzed using SPSS version 21, Chicago Il, USA.
  
  
  RESULTS
  A total of 409 children were recruited into the study. The overall rate of malaria parasitemia was 83.1% (340/409) lower in males 81.6% (228/276) than in females 86.3% (112/133). The peak of parasitemia is similar in both sexes (5-9 years). Most of the children had medium levels of parasitemia, which decreased with increasing age. The proportion of children transfused also decreased with increasing age. At medium and high levels of parasitemia; in children below 5 years, 92.8% (132/142) were transfused while in 5 years and above only 79.6% (39/49) of the children were transfused. At medium level parasitemia the proportion of children transfused was significantly higher than those not transfused (P < 0.001).
  
  
  CONCLUSIONS
  Most children 6 months to 14 years with medium level of parasitemia may require blood transfusion. Targeted measures toward primary prevention of malaria in children should be intensified as this will not only reduce morbidity and mortality of malaria, but will reduce the economic burden of the disease in Semi-rural and rural dwellers in Sub Saharan Africa.
authors.affiliation: Department of Microbiology and Parasitology, Imo State University Teaching Hospital Umunna, Imo State, Nigeria.
authors.forename: Nir
authors.initials: N
authors.lastname: Austin
authors.affiliation: Department of Medicine, University of Nigeria Teaching Hospital Enugu, Enugu State, Nigeria.
authors.forename: Eab
authors.initials: E
authors.lastname: Adikaibe
authors.affiliation: Accident and Emergency Unit, Imo State University Teaching Hospital Umunna, Imo State, Nigeria.
authors.forename: Oo
authors.initials: O
authors.lastname: Ethelbert
authors.affiliation: Department of Hematology and Blood Transfusion, Imo State University Teaching Hospital Umunna, Imo State, Nigeria.
authors.forename: Ue
authors.initials: U
authors.lastname: Chioma
authors.affiliation: Department of Science Laboratory Technology, Imo State Polytechnic Umuagwo, Ohaji, Imo State, Nigeria.
authors.forename: Nu
authors.initials: N
authors.lastname: Ekene
keywords: Africa; Blood transfusion; Children; Malaria; Nigeria