Prevalence of Anemia Among the General Population of Malwa (M.P.), India

Joshi, Prakash; Joseph, Diane; Bajpai, Pranay; Manoria, Piyush; Joshi, Priya; Yadav, Vishal; Dagore, Himanshu; Jha, Rohit Kumar

doi:10.14260/jemds/214

Cited by 7 publications

(9 citation statements)

References 5 publications

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“…The most common morphological type of anaemia was microcytic hypochromic anaemia (275) [55%]), which was in accordance with Joshi et al [19] ( 55.53%) and Ahmed et al [20] (56.6%). In a study done by M. Bukar et al [21] 2009, Microcytic hypochromic anaemia was the commonest pattern with 64.9% followed by Dimorphic anaemia with 34.7% and Macrocytic anaemia with 0.4%.…”

Section: Discussionsupporting

confidence: 83%

Study of Morphological Pattern of Anaemia at a Tertiary Care Centre

Choudhary¹,

Koshti²,

Malik³

2020

jemds

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BACKGROUND Anaemia is a disease of low erythrocyte count and haemoglobin (Hb) concentration less than the normal range. The main causes of anaemia are a decrease in RBCs, their destruction and decrease of Hb synthesis. A useful method for diagnosis and classification of anaemias is based on the morphological appearance of RBCs on an ideal stained blood smear. The main terms used in such classification are normocytic normochromic, microcytic hypochromic and macrocytic anaemia. In general, microcytic hypochromic anaemias are caused by reduced haemoglobin synthesis (most commonly because of iron deficiency), while macrocytic anaemias caused by reduced DNA synthesis that impair the maturation of erythroid precursors in the bone marrow. Normocytic normochromic anaemias have diverse aetiologies; in some of these anaemias, specific abnormalities of red cell size and shape which is best appreciated through visual inspection of peripheral smears provide an important clue as to cause. METHODS Retrospectively and prospectively we evaluated the results of complete blood count (CBC) and peripheral blood picture (PBP) of all anaemic patients attending during the year 2018 (from 1st January to 31st December), in the Department of Pathology, Gandhi Medical College, Bhopal (M.P.). RESULTS Out of a total of 500 patients, 220 were males and 280 were females. Results of CBC and PBP showed that 145 (29%), 275 (55%) and 80 (18%) of the patients had normocytic normochromic, microcytic hypochromic and macrocytic pattern of anaemia respectively. CONCLUSIONS The microcytic hypochromic pattern of anaemia is highly frequent among this sample of patients while the macrocytic pattern of anaemia is the lowest. According to gender groups, microcytic hypochromic pattern of anaemia is more common among females; malnutrition, increase of blood loss due to pregnancy or menstruation, and lack of iron absorption are the main causes, while the normocytic normochromic anaemia is highly prevalent among males, which is mainly due to blood loss or chronic diseases.

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Section: Discussionsupporting

confidence: 83%

Study of Morphological Pattern of Anaemia at a Tertiary Care Centre

Choudhary¹,

Koshti²,

Malik³

2020

jemds

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“…This was in concordance with the study done by Swaroop Raj et al as 63.5%, Mukaya JE et al as 59.2% while National family health survey 2005-06 concluded that in Uttar-Pradesh 49.9% females were suffering from anemia. [6][7][8] In the present study, MCHC anemia (49.8%) was the commonest followed by NCNC anemia (36.5%). Almost similar results were obtained by Japheth E.…”

Section: Discussionmentioning

confidence: 71%

“…7 Verma M et al also reported MCHC anemia as 55.4% and 37.5% NCNC cases, Kumari et al reported 53.3% cases as MCHC anemia and NCNC cases 35.8% while Prakash Joshi et al concluded that MCHC anemia 24.74% cases and NCNC anemia 12.64% cases and Sandhya I et al concluded 61% as MCHC anemia and 17% as NCNC anemia. [9][10][11] The present studies showed that PBS examination provide additional information only in 11.4% cases of …”

Section: Discussionmentioning

confidence: 99%

Can peripheral blood smear examination be totally replaced by automated hematology analyser - with special reference to anemia?

et al. 2016

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INTRODUCTIONPeripheral blood smear (PBS) examination is a part of the routine work of every laboratory. The manual examination of these images is tedious, time consuming and suffers from interobserver variation. This has motivated researchers to develop different algorithms and methods to automate PBS image analysis. The automated hematology analyzers give more accurate and <1% coefficient of variation for the RBC indices and hence have replaced the manual methods. Thus we can definitely conclude that the hematology analyzers definitely have a potential to replace peripheral blood smear examination. 1The expertise needed to see the PBS is definitely far more than that needed to run the analyzers. Moreover there is intra and inter observer variation in morphological typing of anemia based on PBS examination. The additional PBS review performed by hematologist hardly ever provided unique information and provided incremental helpful information in only 4% of the cases. Cell counting with these instruments is rapid, objective, statistically significant (8000 or more cells are counted) and not subject to the distributional bias of the manual count. Hence automated instruments increase accuracy, speed of analysis, minimizes levels of human manipulation for test entry, sampling, sample dilution and ABSTRACT Background:The aims and objectives of present study was to correlate typing of anemia based on RBC indices obtained from an automated analyzer with peripheral blood smear (PBS) examination and also to find out whether the number of PBS examination can be reduced with the help of automated hematology analyzer. Methods: A total of 2500 blood samples showing anemia as per WHO reference range were collected in central pathology lab of SVBP Hospital attached to L.L.R.M. Medical College, Meerut, Uttar Pradesh, India over a period of one year. Samples were reported by auto-analyzer and PBS examination simultaneously. Results: Out of total 2500 cases, there were 1623 females (64.9%) and 877 males (35.1%) with male: female ratio 0.54:1. By auto-analyzer and PBS examination, MCHC anemia (49.8%) was the commonest anemia followed by NCNC anemia (36.5%) and Macrocytic anemia (4.2%). Discordant typing of anemia between two methods was found in 284 (11.4%) cases only. These cases were diagnosed as normocytic normochromic (NCNC) anemia with raised RDW by autoanalyzer while as Dimorphic Anemia (DA) on PBS examination. Also morphological changes such as RBC inclusions, spherocytes, RBC fragments, schistocytes, nucleated RBCs were seen only on PBS examination. Conclusions: The Study concluded that even today PBS examination is very important and cannot be totally replaced by automated analyzer and both methods are complementary to each other.

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“…Social, educational and nutritional negligence has primarily affected the adolescent girls and succumb them for growth retardation, poor physical changes, impaired social and mental behavior and poor reproductive growth in future owing to deficient iron and vitamin B12 reserve. [2][3][4] Anemia management has been a prime focus of present national programme not only for their optimum growth and development but also to reduce the future risk of maternal mortality and morbidity. Screenings for anemia are being carried out in different geographical areas in different seasonal period.…”

Section: Introductionmentioning

confidence: 99%

Anemia prevalence in adolescent school going girls

Dhuppar¹,

Patel²,

Maski³

et al. 2017

Int J Recent Sci Res

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ARTICLE INFO ABSTRACT Aim:The aim was to find out the prevalence of anemia in the adolescent girls in the schools of rural area and the influence of micronutrients on different grades of anemia. Materials and methods: It was a cross-sectionals study. 501 school going adolescent girls were enrolled for the study after informed consent. Data for demographic profile were collected, followed by blood sample collection for analysis of hemoglobin, iron profile and vitamin B12. Results: Prevalence of anemia was 40.7% in the study population. Anemia distribution was significantly associated with low socioeconomic class (SEC), low body mass index (BMI), diet pattern and worm infestation. Vitamin B12 deficiency was recorded to be 57.9% which was more prevalent as compared to Iron deficiency anemia which was found to be only 17%. Conclusion:Annual screening for anemia along with health education and poverty alleviation program would definitely aid in developing strategies and programs to improve adolescence health by ensuring adequate micronutrient store for future pregnancy.

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Prevalence of Anemia Among the General Population of Malwa (M.P.), India

Cited by 7 publications

References 5 publications

Study of Morphological Pattern of Anaemia at a Tertiary Care Centre

Study of Morphological Pattern of Anaemia at a Tertiary Care Centre

Can peripheral blood smear examination be totally replaced by automated hematology analyser - with special reference to anemia?

Anemia prevalence in adolescent school going girls

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