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Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania

Bacteraemia is a leading cause of morbidity in sickle cell anaemia (SCA), but information from studies in Africa is limited. We evaluated 890 admissions from 648 SCA patients at a tertiary hospital in Tanzania. Bacteraemia was present in 43 admissions (4·8%); isolates included Staphylococcus aureus...

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Autores principales: Makani, Julie, Mgaya, Josephine, Balandya, Emmanuel, Msami, Khadija, Soka, Deogratias, Cox, Sharon E., Komba, Albert N., Rwezaula, Stella, Meda, Elineema, Muturi, David, Kitundu, Jesse, Fegan, Gregory, Kirkham, Fenella J., Newton, Charles R., Snow, Robert W., Lowe, Brett
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744759/
https://www.ncbi.nlm.nih.gov/pubmed/26084722
http://dx.doi.org/10.1111/bjh.13553
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author Makani, Julie
Mgaya, Josephine
Balandya, Emmanuel
Msami, Khadija
Soka, Deogratias
Cox, Sharon E.
Komba, Albert N.
Rwezaula, Stella
Meda, Elineema
Muturi, David
Kitundu, Jesse
Fegan, Gregory
Kirkham, Fenella J.
Newton, Charles R.
Snow, Robert W.
Lowe, Brett
author_facet Makani, Julie
Mgaya, Josephine
Balandya, Emmanuel
Msami, Khadija
Soka, Deogratias
Cox, Sharon E.
Komba, Albert N.
Rwezaula, Stella
Meda, Elineema
Muturi, David
Kitundu, Jesse
Fegan, Gregory
Kirkham, Fenella J.
Newton, Charles R.
Snow, Robert W.
Lowe, Brett
author_sort Makani, Julie
collection PubMed
description Bacteraemia is a leading cause of morbidity in sickle cell anaemia (SCA), but information from studies in Africa is limited. We evaluated 890 admissions from 648 SCA patients at a tertiary hospital in Tanzania. Bacteraemia was present in 43 admissions (4·8%); isolates included Staphylococcus aureus (12/43; 28%), non‐Typhi Salmonella (9/43; 21%), Streptococcus pneumoniae (3/43; 7%) and Salmonella Typhi (2/43; 5%). Compared to SCA patients without bacteraemia, SCA patients with bacteraemia had significantly lower haemoglobin [71 g/l vs. 62 g/l, odds ratio 0·72 (95% confidence interval 0·56–0·91), P < 0·01]. Further exploration is needed of the relationship between anaemia and bacterial infections in SCA in Africa.
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spelling pubmed-47447592016-02-18 Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania Makani, Julie Mgaya, Josephine Balandya, Emmanuel Msami, Khadija Soka, Deogratias Cox, Sharon E. Komba, Albert N. Rwezaula, Stella Meda, Elineema Muturi, David Kitundu, Jesse Fegan, Gregory Kirkham, Fenella J. Newton, Charles R. Snow, Robert W. Lowe, Brett Br J Haematol Red Cells and Iron Bacteraemia is a leading cause of morbidity in sickle cell anaemia (SCA), but information from studies in Africa is limited. We evaluated 890 admissions from 648 SCA patients at a tertiary hospital in Tanzania. Bacteraemia was present in 43 admissions (4·8%); isolates included Staphylococcus aureus (12/43; 28%), non‐Typhi Salmonella (9/43; 21%), Streptococcus pneumoniae (3/43; 7%) and Salmonella Typhi (2/43; 5%). Compared to SCA patients without bacteraemia, SCA patients with bacteraemia had significantly lower haemoglobin [71 g/l vs. 62 g/l, odds ratio 0·72 (95% confidence interval 0·56–0·91), P < 0·01]. Further exploration is needed of the relationship between anaemia and bacterial infections in SCA in Africa. John Wiley and Sons Inc. 2015-06-17 2015-10 /pmc/articles/PMC4744759/ /pubmed/26084722 http://dx.doi.org/10.1111/bjh.13553 Text en © 2015 The Authors. British Journal of Haematology published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Red Cells and Iron
Makani, Julie
Mgaya, Josephine
Balandya, Emmanuel
Msami, Khadija
Soka, Deogratias
Cox, Sharon E.
Komba, Albert N.
Rwezaula, Stella
Meda, Elineema
Muturi, David
Kitundu, Jesse
Fegan, Gregory
Kirkham, Fenella J.
Newton, Charles R.
Snow, Robert W.
Lowe, Brett
Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania
title Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania
title_full Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania
title_fullStr Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania
title_full_unstemmed Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania
title_short Bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in Tanzania
title_sort bacteraemia in sickle cell anaemia is associated with low haemoglobin: a report of 890 admissions to a tertiary hospital in tanzania
topic Red Cells and Iron
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744759/
https://www.ncbi.nlm.nih.gov/pubmed/26084722
http://dx.doi.org/10.1111/bjh.13553
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