<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332024000100020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aspectos clínico-epidemiológicos en pacientes con malaria grave del Hospital Municipal de Cuimba, Angola]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical-epidemiological aspects of severe malaria in patients at the Municipal Hospital of Cuimba, Angola]]></article-title>
<article-title xml:lang="pt"><![CDATA[Aspectos clínico-epidemiológicos da malária grave em pacientes do Hospital Municipal do Cuimba, Angola]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Rabí]]></surname>
<given-names><![CDATA[Marelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Imbert Puente]]></surname>
<given-names><![CDATA[Elieser]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Carrillo]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Landu Bamba]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ngoma]]></surname>
<given-names><![CDATA[Antônio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Ciego de Ávila  ]]></institution>
<addr-line><![CDATA[ Ciego de Ávila]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Guantánamo  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Matanzas  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Agostinho Neto  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Angola</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>103</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332024000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332024000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332024000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El Plasmodium falciparum es el causante de más del 90 % de los casos de malaria en el mundo.  Objetivo: Describir aspectos clínico-epidemiológicos de pacientes con malaria grave, atendidos en el Hospital Municipal de Cuimba, provincia de Zaire, República de Angola.  Método: Estudio observacional, descriptivo, de corte transversal y retrospectivo, durante el periodo comprendido entre enero-junio de 2023, en pacientes con diagnóstico de malaria grave. El universo fue conformado por 452 pacientes positivos de malaria, la muestra quedó conformada por 97 pacientes que desarrollaron malaria grave. Se estudiaron variables asociadas como: anemia severa, convulsiones, hiperparasitemia, entre otras.  Resultados: La media de edad fue de 14,8 años, el 43,3 % menor de cinco años, con predominio del sexo masculino (53,9 %). El Plasmodium falciparum estuvo presente en 59 casos (60,8 %), con elevadas tasas de parasitemia. Las manifestaciones de disfunción cerebral en asociación con la anemia severa resultaron estar en el cuadro clínico del 31 % de los pacientes. El 40,2 % de los enfermos no presentó complicaciones en su estadía hospitalaria. El síndrome de dificultad respiratoria aguda (18,6 %) fue la complicación más frecuente que sobrellevó al fallecimiento del 12,4 % de los pacientes. El artesunato fue usado en 77,3 % de los pacientes.  Conclusiones:  El paludismo representa un problema de salud en el Hospital Municipal de Cuimba, con mayor frecuencia en los menores de cinco años. Prevalece la infección por Plasmodium falciparum en pacientes con anemia severa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: O Plasmodium falciparum é responsável por mais de 90 % da malária em todo o mundo.  Objetivo:  Caracterização dos aspectos clínico-epidemiológicos da malária grave em pacientes atendidos no Hospital Municipal de Cuimba, Zaire, Angola.  Método: Foi realizado um estudo observacional, descritivo, transversal e retrospetivo, durante o período de janeiro a junho de 2023, em doentes notificados com malária grave. O estudo envolveu um total de 452 doentes com malária positiva, mas apenas 97 deles, que apresentavam uma complicação de malária grave, foram seleccionados como amostra. As variáveis utilizadas foram as seguintes: anemia grave, convulsões, hiperparasitemia, entre outras.  Resultados: O sexo masculino foi predominante, com uma idade média de 14,8 anos e 43,3 % dos doentes com menos de cinco anos de idade. O Plasmodium falciparum foi encontrado em 59 doentes (60,8 %) com uma elevada prevalência de parasitemia. Manifestações de disfunção cerebral em associação com anemia grave foram encontradas no quadro clínico de 31 % dos doentes. Os 40,2 % dos doentes não tiveram complicações no período de admissão. A Síndrome de Angústia Respiratória Aguda foi a complicação mais frequente (18,6 %) e foi a principal causa de morte em 12,4 % dos doentes. O artesunato foi utilizado em 77,3 % dos doentes.  Conclusões: A malária é um problema de saúde em Hospital Municipal de Cuimba, com uma maior incidência em crianças com menos de cinco anos de idade; a infeção por Plasmodium falciparum prevaleceu em pacientes com anemia grave.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[malaria]]></kwd>
<kwd lng="es"><![CDATA[paludismo]]></kwd>
<kwd lng="es"><![CDATA[malaria grave]]></kwd>
<kwd lng="es"><![CDATA[Plasmodium falciparum]]></kwd>
<kwd lng="es"><![CDATA[malaria complicada]]></kwd>
<kwd lng="en"><![CDATA[malaria]]></kwd>
<kwd lng="en"><![CDATA[severe malaria]]></kwd>
<kwd lng="en"><![CDATA[Plasmodium falciparum]]></kwd>
<kwd lng="en"><![CDATA[malaria complicated]]></kwd>
<kwd lng="pt"><![CDATA[malária]]></kwd>
<kwd lng="pt"><![CDATA[paludismo]]></kwd>
<kwd lng="pt"><![CDATA[malária grave]]></kwd>
<kwd lng="pt"><![CDATA[Plasmodium falciparum]]></kwd>
<kwd lng="pt"><![CDATA[malária complicada]]></kwd>
</kwd-group>
</article-meta>
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