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ORIGINAL ARTICLE
Year : 2005  |  Volume : 12  |  Issue : 3  |  Page : 127-132

Severe malaria in sudanese children: Clinical aspects and prognosis in hospitilized patients


1 University of Khartoum, Sudan
2 University of Islamia, Sudan
3 University of Gazera, Sudan
4 Gadarif Hospital, Sudan
5 Sennar Hospital, Sudan

Correspondence Address:
Zeidan A Zeidan
University of Khartoum
Sudan
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Source of Support: None, Conflict of Interest: None


PMID: 23012090

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Objective : To asssess the epidemiology, clinical presentations, disease mangement, outcome and risk factors associatted with severe malaria in children in four hospitals in Sudan. Methods : Follow-up prospective design was used to fulfil the objectives of the study 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 representing 21% of all paediatric admissions, and 12% of malaria outpatient cases. Median age of children with severe malaria was 48 months. 93% of children with severe malaria died before the age of 9 years. Case fatlality rate was 2.6%. The risk of dying because of delay was four times more than when there was no delay , 95% CI (1.5 - 14.3). Other risks of death were severe malaria associated with coma, inability to sit or eat and hyperpyrexia. Omdurman hospital in Khartoum State in the capital, had the highest case management performance percentage compared to other regional hospitals. Conclusions: In view of this, it can be argued that deaths due to severe malaria could be reduced by improving health management and planning with the redistribution of resources (including consultants) at the central and regional levels and the conduct of proper training programs on the management of severe malaria at all levels. Raising the awareness of parents about seeking treatment for malaria early in order to avoid unnecessary deaths is vital.


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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
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