Clinical case definition of malaria at a secondary level hospital in northern India.

Simple item page
dc.contributor.authorAnand, Ken_US
dc.contributor.authorKant, Sen_US
dc.contributor.authorKumar, Gen_US
dc.contributor.authorKapoor, S Ken_US
dc.date.accessioned2009-05-27T14:54:58Z
dc.date.available2009-05-27T14:54:58Z
dc.date.issued1999-06-25en_US
dc.descriptionThe Southeast Asian Journal of Tropical Medicine and Public Health.en_US
dc.description.abstractMalaria has re-emerged as a major public health problem in India. At present, under the National guidelines; all fevers are presumed to be due to malaria and chloroquine is given as presumptive treatment. This results in overtreatment. We did a pilot study to see whether some clinical predictors of malaria could be identified in the Indian setting. This case control study was done in a secondary level hospital. All those with fever who were smear positive for malaria were enrolled as cases and other patients fever who were smear negative for malaria served as the controls. All the factors under study were ascertained by a history or detailed clinical examination. A total of 41 cases and 95 controls were enrolled. Of the 41 cases, 35 were positive for P. vivax and six were positive for P. falciparum. After multivariate analysis, only splenomegaly (OR = 2.11; 95% CI = 1.27-3.50) and pallor (OR = 2.01; 95% CI = 1.16-3.48) were significantly associated with malaria. It appears that history of fever along with one or both of these two signs can be a useful predictor of malaria in a secondary level hospital in India. The utility and feasibility of a similar approach in a field setting needs to be studied further.en_US
dc.description.affiliationComprehensive Rural Health Services Project, All India Institute of Medical Sciences, District Faridabad, Haryana.en_US
dc.identifier.citationAnand K, Kant S, Kumar G, Kapoor SK. Clinical case definition of malaria at a secondary level hospital in northern India. The Southeast Asian Journal of Tropical Medicine and Public Health. 1999 Jun; 30(2): 243-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/31426
dc.language.isoengen_US
dc.source.urihttps://www.tm.mahidol.ac.th/seameo/1999-30-2/1999-30-2-243.pdfen_US
dc.subject.meshAnalysis of Varianceen_US
dc.subject.meshAntimalarials --therapeutic useen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshChilden_US
dc.subject.meshChloroquine --therapeutic useen_US
dc.subject.meshFemaleen_US
dc.subject.meshFever --etiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMalaria, Falciparum --complicationsen_US
dc.subject.meshMalaria, Vivax --complicationsen_US
dc.subject.meshMaleen_US
dc.subject.meshOdds Ratioen_US
dc.subject.meshPallor --etiologyen_US
dc.subject.meshPilot Projectsen_US
dc.subject.meshSplenomegaly --etiologyen_US
dc.titleClinical case definition of malaria at a secondary level hospital in northern India.en_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
tsajtmph_1999v30n2p243.pdf
Size:
47.28 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
Southeast Asian Journal of Tropical Medicine and Public Health