Maiga B, Sacko K, Cissouma A, Dembélé A, Cissé M, Diakité AA, Diall H, Touré A, Togo P, Doumbia AK, Coulibaly O, Doumbia A, Coulibaly A, Konaté D, Koné I, DickoTraoré F. [Caracteristics Of Severe Malaria In Child From 0 To 5 Years At The Hospital Of
Sikasso In Mali].
Mali Med 2019;
34:1-5. [PMID:
35897226]
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Abstract
UNLABELLED
In Mali, malaria is a major public health problem. The region of Sikasso is classified according to the geo-climatic facies as a zone with a long seasonal transmission of malaria greater than 6 months.
OBJECTIVE
To describe the epidemiological, clinical and therapeutic characteristics of children aged 0- 5 years hospitalized for severe malaria in the pediatric ward of the Sikasso hospital. Variables analyzed were epidemiological, clinical, paraclinical, therapeutic and evolutionary.
PATIENTS AND METHODS
This is a retrospective, 12-month (January-December 2014) cross-sectional study of all 0-5-year-olds hospitalized for severe malaria at the Sikasso Regional Hospital.
RESULTS
The hospital frequency of severe malaria was 55.82%. The age group of 12-35 months was the most concerned (45.3%). The peak frequency was in August (21.2%). Anemic, mixed (anemia and neurological) and neurological forms were the most frequent. Artemether and quinine were the antimalarials used. The use of a blood transfusion was frequent (82.8%). The lethality was 10% and the mixed form (anemia and neurology) was the most lethal ((P<10-6).
CONCLUSION
Malaria remains a national concern in Mali. Improving the quality of care and prevention must be a priority to reduce the lethality that remains high.
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