Short Term Outcome of Malaria at Rwanda Level 2 Hospital Bria in Central African Republic: A Cross-Sectional Study
Journal Title: International Journal of TROPICAL DISEASE & Health - Year 2017, Vol 27, Issue 4
Abstract
Background: Malaria has been recognized as a disease affecting peacekeeping forces serving in malaria endemic countries. We wanted to determine the short term outcome of malaria at Rwanda Level 2 hospital. Methods: Malaria cases were prospectively reviewed and followed at Rwanda Level 2 hospital Bria in Central African Republic from 4th April to 14th July 2017. Clinical, laboratory, treatment and short outcome findings were analyzed. Results: Patients (102 in subjects) with positive rapid diagnostic test and blood smear were reviewed, prevalence rate was 14.97%, mean age of 37.77±8.39 years and male presented with 91.20%, male sex ratio of 10:1. Headaches, body weakness, joint aches, muscle aches, chills and fever presented respectively 98%, 89.20%. 84.30%, 81.40%, 61.80% and 49%. Digestive symptoms were presente anorexia, nausea, abdominal discomfort and vomiting 41.20%, 37.20%, 31.40% and 8.80% respectively. Plasmodium falciparum was found in 98%, associated with vivax in 1% and isolated vivax in 1%. High parasitemia of 1 to 10 parasites per thick field and more was found in 8.80%. Malaria recurrence rate was 13.70% with a duration period mean of 38.92 days (range 20-82 days). 35.71% had recurrent within thirty days. 82.40% of patients received tablets Artemether-lumefanthrine. This High parasitemia was associated respectively with nausea p=0.013, OR=5.9, 95% (1.3 - 26.93) and anorexia p=0.003 OR=11.43, 95% (1.43-87.99). Clinical and laboratory findings post treatment showed a strong statistical association. Conclusion: Malaria is prevalent at Bria; multitudes of symptoms and sign have been documented. Post treatment clinical and laboratory findings showed efficacy of treatment.
Authors and Affiliations
Joël Bizimanasharale Bikoroti, John Byimana, Augustin Ndatinya, Justin Bayisenga, John Muganda Rwibasira, Alphonse Gasangwa, Emmanuel Ntirenganya, Sadock Rumenge
Keywords
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- EP ID EP312808
- DOI 10.9734/IJTDH/2017/36787
- Views 70
- Downloads 0
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