University of Khartoum

Severe Malaria in Sudanese Children: Clinical Aspects and Prognosis in Hospitilized Patients

Severe Malaria in Sudanese Children: Clinical Aspects and Prognosis in Hospitilized Patients

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Title: Severe Malaria in Sudanese Children: Clinical Aspects and Prognosis in Hospitilized Patients
Author: H, Kojal.; M., Habour .; K, Nowary; Hashim, Faisal.A; B, Erikson; Zeidan, Zeidan A.
Abstract: to asssess treatment actions before admission for severe malaria, epidemiology, clinical presenations, disease mangement, outcome and risk factors associatted with fatality.Methods: Follow up prospective design was used to fulfil the objectives of the study, that took place in four hospitals: Omdurman paediatrics hospital located in the capital (Khartoum) compared to Madani, Gadarif and Sennar hospitals located in other States. The results: Total admission of severe malaria was 543 children, it represented 21% of all paediatric admissions, and 12% of malaria outpatient cases. Median age of children with severe malaria was 48 month. 93% of children with severe malaria died before the age of 9 years. Case fatlality rate was 2.6%. Risk of dying because of delay was four times more compared to children without delay , 95% CI (1.5 – 14.3). Other risk of death are severe malaria associatted with coma, inability to sit or eat and hyperpyrexia. Omdurman hospital in Khartoum State ( the capital) witnessed the highest case mangement perfromance percentage compared to other regional hospitals in the states.Conclusions: In view of this, we consider that malaria could be reduced by improving health management and planning by redistributing resources (including consultants) between central and regional level and conduct of proper training program on management of severer malaria at all level. Raising awareness of parents towards avoiding delay in seeking treatment for malaria will avoid unnecessary deaths.
URI: http://khartoumspace.uofk.edu/handle/123456789/17478
Date: 2015-12-09


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