Autor: |
Kelly Elimian, Sebastian Yennan, Anwar Musah, Iliya Danladi Cheshi, Carina King, Lauryn Dunkwu, Ahmed Ladan Mohammed, Eme Ekeng, Oluwatosin Wuraola Akande, Stephanie Ayres, Benjamin Gandi, Emmanuel Pembi, Fatima Saleh, Ahmed Nasir Omar, Emily Crawford, Olubunmi Omowumi Olopha, Robinson Nnaji, Basheer Muhammad, Rejoice Luka-Lawal, Adachioma Chinonso Ihueze, David Olatunji, Chidimma Ojukwu, Afolabi Muftau Akinpelu, Ene Adaga, Yusuf Abubakar, Ifeoma Nwadiuto, Samuel Ngishe, Agnes Bosede Alowooye, Peace Chinma Nwogwugwu, Khadeejah Kamaldeen, Henry Nweke Abah, Egbuna Hyacinth Chukwuebuka, Hakeem Abiola Yusuff, Ibrahim Mamadu, Abbas Aliyu Mohammed, Sarah Peter, Okpachi Christopher Abbah, Popoola Michael Oladotun, Santino Oifoh, Micheal Olugbile, Emmanuel Agogo, Nnaemeka Ndodo, Olajumoke Babatunde, Nwando Mba, John Oladejo, Elsie Ilori, Tobias Alfvén, Puja Myles, Chinwe Lucia Ochu, Chikwe Ihekweazu, Ifedayo Adetifa |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
BMJ open. 12(9) |
ISSN: |
2044-6055 |
Popis: |
ObjectivesNigeria reported an upsurge in cholera cases in October 2020, which then transitioned into a large, disseminated epidemic for most of 2021. This study aimed to describe the epidemiology, diagnostic performance of rapid diagnostic test (RDT) kits and the factors associated with mortality during the epidemic.DesignA retrospective analysis of national surveillance data.Setting33 of 37 states (including the Federal Capital Territory) in Nigeria.ParticipantsPersons who met cholera case definition (a person of any age with acute watery diarrhoea, with or without vomiting) between October 2020 and October 2021 within the Nigeria Centre for Disease Control surveillance data.Outcome measuresAttack rate (AR; per 100 000 persons), case fatality rate (CFR; %) and accuracy of RDT performance compared with culture using area under the receiver operating characteristic curve (AUROC). Additionally, individual factors associated with cholera deaths and hospitalisation were presented as adjusted OR with 95% CIs.ResultsOverall, 93 598 cholera cases and 3298 deaths (CFR: 3.5%) were reported across 33 of 37 states in Nigeria within the study period. The proportions of cholera cases were higher in men aged 5–14 years and women aged 25–44 years. The overall AR was 46.5 per 100 000 persons. The North-West region recorded the highest AR with 102 per 100 000. Older age, male gender, residency in the North-Central region and severe dehydration significantly increased the odds of cholera deaths. The cholera RDT had excellent diagnostic accuracy (AUROC=0.91; 95% CI 0.87 to 0.96).ConclusionsCholera remains a serious public health threat in Nigeria with a high mortality rate. Thus, we recommend making RDT kits more widely accessible for improved surveillance and prompt case management across the country. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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