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Revista Información Científica
versión On-line ISSN 1028-9933
Resumen
RAMIREZ RABI, Marelys et al. Clinical-epidemiological aspects of severe malaria in patients at the Municipal Hospital of Cuimba, Angola. Rev. inf. cient. [online]. 2024, vol.103 Epub 18-Mar-2024. ISSN 1028-9933.
Introduction:
Plasmodium falciparum is responsible for more than 90 % of malaria worldwide.
Objective:
Characterization of Clinical-epidemiological aspects of severe malaria in patients treated at the Municipal Hospital of Cuimba, Zaire, Angola.
Method:
An observational, descriptive, cross-sectional and retrospective study was conducted, during the period January - June 2023, in patients reported with severe malaria. The study involved a total of 452 patients with positive malaria but only 97 of them, who presented a complication of severe malaria, were selected as sample. The variables used were as follow: severe anemia, convulsions, hyperparasitemia, among others.
Results:
Male sex was predominant, with an average age of 14.8% and 43.3% of patients under five years of age. Plasmodium falciparum was found in 59 patients (60.8%) with a high parasitaemia prevalence. Manifestations of cerebral dysfunction in association with severe anemia were found in the clinical picture of 31% of patients. The 40.2% of patients had no complications in admission period. Acute Respiratory Distress Syndrome was the most frequent complication (18.6%), and it was the leading cause of death in 12.4% of patients. Artesunate was used in 77.3% of patients.
Conclusions:
Malaria is a health problem in Municipal Hospital of Cuimba, with a higher incidence in children under five years of age; Plasmodium falciparum infection prevailed in patients with severe anemia.
Palabras clave : malaria; severe malaria; Plasmodium falciparum; malaria complicated.