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Abstract

MAJOR TYPES OF ANAEMIA AMONG THE CHILDREN ATTENDING PAEDIATRIC DEPARTMENT OF UDUTH, SOKOTO, NORTH-WESTERN NIGERIA

Ibrahim K. K.*, Uko E. K., Jiya N. M., Erhabor O., Mainasara A. S., Yeldu M. H., Dallatu M. K., Umar A., Sanusi M. and Garba A.

ABSTRACT

The World Health Organization (WHO) defined anaemia as HB <12g/dl in adult non-pregnant female, Hb < 11g/dl in pregnant females, Hb <13g/dl in adult men, Hb <12g/dl and Hb <11g/dl in male & female children respectively. The major causes of anaemia include; iron deficiency, macro and micronutrient deficiencies, excessive blood loss, inheritance disorders of haemoglobin, malaria and other parasitic infections, HIV- infection and drug-related complications. This study is aimed to investigate the major types of anaemia among the children attending Usmanu Danfodiyo University Sokoto, North-Western, Nigeria. Four hundred children aged 0-15years were recruited for this study. Haematological parameters tested include red cell indices, white cell total and differential, platelet counts and morphologies were studied with mythic 5-part autoanalyzer and manual techniques. Malaria testing was done using Parasite-F strip and manual thin film stained with giemsa stain. Other investigations include serum iron, ferritin, transferrin, TIBC, Hb Genotype and HIV testing using rapid strip method approved by WHO. Of the four hundred children tested, 139 (34.8%) were anaemic while 261 (65.2%) were non-anaemic. This study revealed five types of anaemia among the children; iron deficiency 59(14.7%), sickle cell 50 (12.5%), normocytic normochromic 20(5%), anaemia of chronic diseases 9(2.2%) and megaloblastic 5 (1.3%). This study observed a prevalence of 34.8% of anaemia among the children in Sokoto Serum iron and ferritin levels, as measured by ELISA can be used reliably for the differential diagnosis of iron deficiency anaemia (from other anaemia) among children.

Keywords: Anaemia, causes and types, children, haematological parameters, iron.


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