Biochemical Markers Analysis for Sars-Cov-2 Infected Patients in Kakamega County, Kenya
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Date
2024-07
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Kenyatta University
Abstract
Aims and objectives: Severe Acute respiratory syndrome corona virus 2(SARS-CoV-2) 
is a type of coronavirus that first emerged in Wuhan, China late 2019. Once this virus 
infects any person, it causes Coronavirus disease 2019 (COVID-19) capable of causing 
death. Since then, hundreds of thousands of deaths have been reported as a result of 
COVID-19 globally. It is critical to detect the people with the potential of becoming very 
sick with COVID-19 early enough in order to save their lives by testing blood for certain 
chemicals known as biomarkers. This study aimed to determine biochemical markers in 
SARS-COV-2 infected patients in Kakamega County, Kenya. The Selected biochemical 
markers LFT, RFT, electrolytes, blood glucose level C-reactive protein (CRP), lactate 
dehydrogenase (LDH), were also evaluated for correlation with disease severity.
Materials and methods: A cross-sectional study was conducted on 350 patients with 
COVID 19 attending Kakamega County general teaching and Referral Hospital. Ethical 
approval was sought from Kenyatta University Ethical and research committee and
permission was obtained from Kakamega county general teaching and referral hospital 
administration. Socio-demographic, clinical characteristics of covid-19 among admitted 
patients in Kakamega Country Referral hospital was collected using a questionnaire. 
Five (5ml) of venous blood was collected and analyzed using standard hematological 
parameters profile, assessment of liver, renal and cardiac functions tests and evaluation of 
High-sensitivity C-Reactive protein.
Results: A total of 350 patients were enrolled in the study. Majority of the participants 
were male (52.9%, 185/350) while 165(47.1%) were female. Out of the 350 patients 
recruited, 296 (84.6%) were Covid-19 positive while 44 (15.1%) were negative. This 
indicated a high prevalence of 84.6% of Covid-19 among patents who attended the 
facility during the study period. Data presentation was done using tables and figures and 
analyzed using formula of Le and Boen, Chi square and Correlation tests. 
Conclusions: Out of the 350 patients recruited, 296 (84.6%) were Covid-19 positive 
while 44 (15.1%) were negative. This indicated a high prevalence of 84.6% of Covid-19 
among patents who attended the facility during the study period. Biochemical markers of 
the liver (ALT, AST), Total bilirubin, blood protein were elevated among Covid-19 
positive patients, while albumin was low among Covid-19 negative patients.
Description
A Thesis Submitted in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science in Infectious Diseases in the School of Health Sciences, Kenyatta University July, 2024
Supervisor:
1.Nelson C. Menza
2.Iddah M. Ali