Main Article Content
Abstract
Typhoid fever remains a significant health issue in Nigeria. This study examined the prevalence of typhoid fever and its correlates among adults who obtained services in the Degema community of Rivers State, Nigeria. The study employed a retrospective design involving multiple healthcare facilities to examine 783 medical records. A systematic sampling method was used to select the records for analysis. Data was collected using a data extraction form. Descriptive and inferential statistical approaches were applied to the data at a significance of p < 0.05. The findings indicated a 57% prevalence of typhoid fever. A significant association was found between the occurrence of typhoid fever and age (p = 0.003) such that the prevalence increased with age and was highest among individuals aged 69 to 78 years (Prevalence Ratio = 0.64). There was a significant association between educational attainment and the prevalence of typhoid fever (p = 0.003), with secondary school-educated persons having the highest prevalence (PR = 0.60). A significant association was observed between occupation and the prevalence of typhoid fever (p < 0.001), particularly among artisans (PR = 0.71). In conclusion, there was elevated typhoid fever prevalence among adults who obtained services at healthcare facilities within Degema Local Government Area, with age, occupation, and education level acting as correlates for its occurrence. Public health nurses should prioritize educating artisans, older individuals and those lacking higher education on preventing typhoid fever.
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References
- Achonduh-Atijegbe, O., Mfuh, K., Mbange, A., Chedjou, J., Taylor, D., Nerurkar, V., & Leke, R. (2016). Prevalence of malaria, typhoid, toxoplasmosis and rubella among febrile children in Cameroon. BMC Infectious Diseases, 16(1), 658. https://doi.org/10.1186/s12879-016-1996-y.
- Adogo, L., Graba, S., & Abalaka, M. (2015). Sero prevalence of salmonella typhi among pregnant women in Niger State. Journal of Microbiology Research, 5(3), 118-121. https://doi.org/10.5923/j.microbiology.20150503.06.
- Akinyemi, K., Oyefolu, A., Mutiu, W., Iwalokun, B., Ayeni, E., Ajose, S., & Obaro, S. (2018). Typhoid Fever: Tracking the Trend in Nigeria. American Journal of Tropical Medicine and Hygiene, 99(3), 41-47. http://doi.org/10.4269/ajtmh.18-0045.
- Als, D., Radhakrishnan, A., Arora, P., Gaffey, M., Campisi, S., Velummailum, R., & Bhutta, Z. (2018). Global Trends in Typhoidal Salmonellosis: A Systematic Review. American Journal of Tropical Medicine and Hygiene, 99(3), 10-19.
- Barac, R., Als, D., Radhakrishnan, A., Gaffey, F., Bhutta, Z., & Barwick, M. (2018). Implementation of Interventions for the Control of Typhoid Fever in Low- and Middle-Income Countries. American Journal of Tropical Medicine and Hygiene, 99(3), 99(3), 79–88. https://doi.org/10.4269/ajtmh.18-0110.
- Deksissa, T., & Gebremedhin, E. (2019). A cross-sectional study of enteric fever among febrile patients at Ambo hospital: prevalence, risk factors, comparison of Widal test and stool culture and antimicrobials susceptibility pattern of isolates. BMC Infectious Diseases, 19(1), 288-290. https://doi.org/10.1186/s12879-019-3917-3.
- Dudeja, N., Sinha, B., Goyal, N., Arya, A., Revi, A., Dutta, A., & Rongsen-Chandola, T. (2022). Association of water, sanitation, hygiene and food practices with enteric fever in a paediatric cohort in North India. BMJ Paediatrics Open, 6(1) e001352. https://doi.org/10.1136/bmjpo-2021-001352.
- Essa, F., Hussain, S. Z. M., Batool, D., Usman, A., Khalid, U., Yaqoob, U., & Shahzad, H. (2019). Study of socio-demographic factors affecting the prevalence of typhoid. Annals of Medical and Health Sciences Research, 9(1):469-471.
- Kumari, M., & Agarwal, S. (2016). Prevalence of typhoid fever among pregnant women: A clinical study. Journal of Advanced Medical and Dental Science Research, 4(6), 234-237. http://doi.org/10.21276/jamdsr.2016.4.6.57.
- Kwala, K., & Asika, A. (2020). Prevalence of typhoid infection among pregnant women attending specialist hospital Yola, Adamawa State, Nigeria. Journal of Applied Life Sciences International, 23(12), 93-101. https://doi.org/10.9734/jalsi/2020/v23i1230 210.
- Marchelloa, C., Birkhold, M., & Crump, J. (2020). Complications and mortality of typhoid fever: A global systematic review and meta-analysis. Journal of Infection, 81(1), 902-910. https://doi.org/10.1016/j.jinf.2020.10.030.
- Mohammed, H., Mukhtar, I., & Sadiq, H. (2020). Malaria and Typhoid Fever: Prevalence, Co-Infection and Socio-Demographic Determinants among Pregnant Women Attending Antenatal Care at a Primary Healthcare Facility in Central Nigeria. International Journal of Pathogen Research, 5(4), 17-24. https://doi.org/10.9734/IJPR/2020/v5i430140.
- Mulu, W., Akal, C., Ababu, K., Getachew, S., Tesfaye, F., Wube, A., & Chekol, D. (2021). Seroconfirmed typhoid fever and knowledge, attitude, and practices among febrile patients attending at Injibara General Hospital, Northwest Ethiopia. Biomed Research International, Article ID 8887266.
- Omoya, O., & Atobatele, O. (2017). Co-Infection of malaria and typhoid fever among pregnant women attending Primary Health Care Centre, Ojo Local Government, Lagos Nigeria. Health Science Journal, 11(2), 1-8.
- Pam, V., Landan, S., Adejoh, V., Pam, D., & Danjuma, K. (2018). Co-infection of malaria and typhoid fever among pregnant women attending antenatal clinics at General Hospital, Wuse, Federal Capital Territory (FCT), Abuja, Nigeria. Nigerian Journal of Parasitology, 39(2), 148-153. https://doi.org/10.4314/njpar.v39i2.6.
- Rine, R., Suleiman, C., & Geoffrey, J. (2013). Retrospective and cross-sectional studies of typhoid fever in pregnant women in a community in central nigeria. International Journal of Advanced Research, 1(3), 66-72.
References
Achonduh-Atijegbe, O., Mfuh, K., Mbange, A., Chedjou, J., Taylor, D., Nerurkar, V., & Leke, R. (2016). Prevalence of malaria, typhoid, toxoplasmosis and rubella among febrile children in Cameroon. BMC Infectious Diseases, 16(1), 658. https://doi.org/10.1186/s12879-016-1996-y.
Adogo, L., Graba, S., & Abalaka, M. (2015). Sero prevalence of salmonella typhi among pregnant women in Niger State. Journal of Microbiology Research, 5(3), 118-121. https://doi.org/10.5923/j.microbiology.20150503.06.
Akinyemi, K., Oyefolu, A., Mutiu, W., Iwalokun, B., Ayeni, E., Ajose, S., & Obaro, S. (2018). Typhoid Fever: Tracking the Trend in Nigeria. American Journal of Tropical Medicine and Hygiene, 99(3), 41-47. http://doi.org/10.4269/ajtmh.18-0045.
Als, D., Radhakrishnan, A., Arora, P., Gaffey, M., Campisi, S., Velummailum, R., & Bhutta, Z. (2018). Global Trends in Typhoidal Salmonellosis: A Systematic Review. American Journal of Tropical Medicine and Hygiene, 99(3), 10-19.
Barac, R., Als, D., Radhakrishnan, A., Gaffey, F., Bhutta, Z., & Barwick, M. (2018). Implementation of Interventions for the Control of Typhoid Fever in Low- and Middle-Income Countries. American Journal of Tropical Medicine and Hygiene, 99(3), 99(3), 79–88. https://doi.org/10.4269/ajtmh.18-0110.
Deksissa, T., & Gebremedhin, E. (2019). A cross-sectional study of enteric fever among febrile patients at Ambo hospital: prevalence, risk factors, comparison of Widal test and stool culture and antimicrobials susceptibility pattern of isolates. BMC Infectious Diseases, 19(1), 288-290. https://doi.org/10.1186/s12879-019-3917-3.
Dudeja, N., Sinha, B., Goyal, N., Arya, A., Revi, A., Dutta, A., & Rongsen-Chandola, T. (2022). Association of water, sanitation, hygiene and food practices with enteric fever in a paediatric cohort in North India. BMJ Paediatrics Open, 6(1) e001352. https://doi.org/10.1136/bmjpo-2021-001352.
Essa, F., Hussain, S. Z. M., Batool, D., Usman, A., Khalid, U., Yaqoob, U., & Shahzad, H. (2019). Study of socio-demographic factors affecting the prevalence of typhoid. Annals of Medical and Health Sciences Research, 9(1):469-471.
Kumari, M., & Agarwal, S. (2016). Prevalence of typhoid fever among pregnant women: A clinical study. Journal of Advanced Medical and Dental Science Research, 4(6), 234-237. http://doi.org/10.21276/jamdsr.2016.4.6.57.
Kwala, K., & Asika, A. (2020). Prevalence of typhoid infection among pregnant women attending specialist hospital Yola, Adamawa State, Nigeria. Journal of Applied Life Sciences International, 23(12), 93-101. https://doi.org/10.9734/jalsi/2020/v23i1230 210.
Marchelloa, C., Birkhold, M., & Crump, J. (2020). Complications and mortality of typhoid fever: A global systematic review and meta-analysis. Journal of Infection, 81(1), 902-910. https://doi.org/10.1016/j.jinf.2020.10.030.
Mohammed, H., Mukhtar, I., & Sadiq, H. (2020). Malaria and Typhoid Fever: Prevalence, Co-Infection and Socio-Demographic Determinants among Pregnant Women Attending Antenatal Care at a Primary Healthcare Facility in Central Nigeria. International Journal of Pathogen Research, 5(4), 17-24. https://doi.org/10.9734/IJPR/2020/v5i430140.
Mulu, W., Akal, C., Ababu, K., Getachew, S., Tesfaye, F., Wube, A., & Chekol, D. (2021). Seroconfirmed typhoid fever and knowledge, attitude, and practices among febrile patients attending at Injibara General Hospital, Northwest Ethiopia. Biomed Research International, Article ID 8887266.
Omoya, O., & Atobatele, O. (2017). Co-Infection of malaria and typhoid fever among pregnant women attending Primary Health Care Centre, Ojo Local Government, Lagos Nigeria. Health Science Journal, 11(2), 1-8.
Pam, V., Landan, S., Adejoh, V., Pam, D., & Danjuma, K. (2018). Co-infection of malaria and typhoid fever among pregnant women attending antenatal clinics at General Hospital, Wuse, Federal Capital Territory (FCT), Abuja, Nigeria. Nigerian Journal of Parasitology, 39(2), 148-153. https://doi.org/10.4314/njpar.v39i2.6.
Rine, R., Suleiman, C., & Geoffrey, J. (2013). Retrospective and cross-sectional studies of typhoid fever in pregnant women in a community in central nigeria. International Journal of Advanced Research, 1(3), 66-72.