Urine analysis findings of malaria patients attending tertiary care hospital of North Gujarat
Journal Title: International Journal Of Research In Medicine - Year 2016, Vol 5, Issue 4
Abstract
BACKGROUND: Vector borne diseases are emerging health problems in developing countries. Among all of vector borne diseases, malaria remains at the top especially during rainy seasons. Plasmodium vivax and plasmodium falciparum are commonly found among all malarial illnesses. As such blood films are used for diagnosing malarial cases, urine abnormality also found among them. Present study carried out for identification of urinary abnormalities observed among malaria cases. OBJECTIVES: 1. To study abnormal urine analysis findings in patient with malaria. 2. To correlate severity of malaria with urine abnormal findings. MATERIALS AND METHOD: A cross sectional study was conducted among the indoor and outdoor patient of teaching hospital of north Gujarat during month of August and September. Out of total 880 cases of fever, 443 (285 males and 158 females) diagnosed having malaria were included in the study. 50 healthy individuals without malaria parasite on both thick and thin smear were taken as control group. 10 ml mid stream urine sample was collected from each cases and control. Urine samples were analyzed as per standard operating procedure using multi colour reagent strips. RESULT: All urine parameters were abnormal in malaria positive patient as compared to malaria negative control. Urine bilirubin, urobilinogen, blood, protein and leucocyte were significantly abnormal in P.falciparum as compared to P.vivax infection. Although irrespective of malaria species, urine parameter abnormalities increase with malaria parasitaemia, only in P. falciparum infection urinary bilirubin and urobilinogen were significantly abnormal at higher malaria parasite index. CONCLUSION: Although urinalysis is not an alternative diagnostic tool for malaria infection, urinary abnormalities, such as bilirubinuria, urobilinogenuria, proteinuria and haematuria may help in identifying patients with severe malaria parasitaemia, especially the falciparum malaria.
Authors and Affiliations
Amarramkrishna Shah , Nimisha Devendrakumar Shethwala, Tejas AjitBhai Shah
Keywords
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