Presentation and Complications among the Malaria Death Cases from Municipal Corporation Hospitals & Civil Hospital of Ahmedabad during the Year 2007.
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Date
2011-03
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Abstract
The present study was carried out to have understanding of
characterisation including symptoms, signs and laboratory parameters
which are associated with fatality of malaria cases on arrival to hospital
which may lead to early recognition and improved management.
Information about deaths due to Malaria, as reported to malaria
Department of Ahmedabad Municipal Corporation by municipal
corporation hospitals and civil hospital from January 07 to December 07,
was used to locate details of those deaths in respective hospitals by
obtaining indoor case papers and death reports of those cases from
Medical Record Section of respective hospitals and were analyzed by
using appropriate statistical software.
Total 57 malaria deaths occurred in the above mentioned 4 hospitals.
Overall Case Fatality Rate was 3.03% for indoor malaria cases. Complete
information could be obtained about 42 cases. Mean age of cases was
36.50 years. 45.23% of patients falling in the age group >=40yrs. There
were 57.1% males and 42.9% females. 55 cases were positive for P.
falciparum, 1 case for P. vivax and 1 case was having mixed infection.
Average duration of Hospital stay was 2.87 days and average total
duration of illness was 6.82 days. The most common presenting symptom
was intermittent fever with vomiting & altered sensorium in 38.88% &
most common complication was Acute Renal Failure in 45.2% of cases.
Paired t-test was applied on the investigations carried out on the day of
admission and those carried out on the day or before a day of death and found significant for the levels of Haemoglobin, Blood Urea & Serum
Billirubin.
Malaria still remains one of the important causes of admission and
mortality. In view of changes in anti-malarial drug policy and
introduction of costly artemisinin combination therapy accurate, rapid
diagnostic tools are necessary to target treatment to people in need.
Description
Keywords
Malaria, case profile, clinical presentation, complications, case fatality rate
Citation
Vyas Sheetal, Bhatt Gneyaa, Gupta Kinnari, Tiwari Hemant. Presentation and Complications among the Malaria Death Cases from Municipal Corporation Hospitals & Civil Hospital of Ahmedabad during the Year 2007. Journal of Communicable Diseases. 2011 Mar; 43(1): 73-79.