Abstract：
OBJECTIVE:The authors had for aim, to determine the frequency and the main clinical forms of severe malaria and to evaluate its management. PATIENTS AND METHODS:A cross-sectional investigation was made in the "Complexe Pediatrique" of Bangui, the only children hospital of the CAR capital, from 12 January to 12 September 1998. The survey included children 6 months to 15 years of age presenting on admission with a positive thick drop examination, and at least one of the clinical symptoms of severe malaria as defined by the World Organization of Health (WHO). RESULTS:Four hundred and thirty-two children were included. Those from 6 months to 4 years of age accounted for 89.35% of the studied population. The most frequent clinical forms were neurological 31% and anemic 22.2%; the other forms were combined in 42.8%. Managing patients consisted of an etiologic treatment by quinine (91.7%) or sulfadoxine pyrimethamine (3.2%) and symptomatic treatment in the following proportions: rehydration: 49.3%; blood transfusion: 36.3%; preventing seizure: 72.9%; oxygen therapy: 77.5%; use of antipyretics: 96.7%, and correction of hypoglycemia: 9%. The death rate remained high with 62 deaths (14.35%). It was higher in combined forms (48 deaths out of 62). CONCLUSION:Severe malaria and its various clinical forms remain a major problem for our pediatric intensive care unit. Updated technical means and human resources could improve the management of severe pediatric malaria.
journal_name
Med Mal Infectjournal_title
Medecine et maladies infectieusesauthors
Bobossi Serengbe G,Ndoyo J,Gaudeuille A,Longo JD,Bezzo ME,Ouilibona SF,Ayivi Bdoi
10.1016/j.medmal.2003.09.003keywords:
subject
Has Abstractpub_date
2004-02-01 00:00:00pages
86-91issue
2eissn
0399-077Xissn
1769-6690pii
S0399-077X(03)00345-7journal_volume
34pub_type
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