RESUMO
We assessed the clinical and epidemiological features of severe malaria cases before admission, management in hospital and outcome and associated factors in 4 hospitals in different areas of Sudan over a 5-month period in 2000. There were 543 children admitted representing 21% of all paediatric admissions. Median age was 36 months. Treatment at home was the first action taken by 57.5% of families. Case fatality rate was 5/1000 and 93% of the children who died were under 9 years. Highest risk of death was associated with delay in seeking treatment and severity of illness before admission. Omdurman Hospital in Khartoum had the best case-management performance index compared to the other hospitals.
Assuntos
Criança Hospitalizada/estatística & dados numéricos , Malária Falciparum/epidemiologia , Malária Falciparum/terapia , Admissão do Paciente/estatística & dados numéricos , Distribuição por Idade , Administração de Caso/normas , Causas de Morte , Criança , Pré-Escolar , Estudos Transversais , Doenças Endêmicas/estatística & dados numéricos , Estudos Epidemiológicos , Feminino , Mortalidade Hospitalar , Hospitais de Distrito , Hospitais Pediátricos , Humanos , Lactente , Malária Cerebral/epidemiologia , Malária Cerebral/parasitologia , Malária Falciparum/complicações , Masculino , Avaliação de Resultados em Cuidados de Saúde , Pais/educação , Fatores de Risco , Estações do Ano , Índice de Gravidade de Doença , Sudão/epidemiologiaRESUMO
We assessed the clinical and epidemiological features of severe malaria cases before admission, management in hospital and outcome and associated factors in 4 hospitals in different areas of Sudan over a 5- month period in 2000. There were 543 children admitted representing 21% of all paediatric admissions. Median age was 36 months. Treatment at home was the first action taken by 57.5% of families. Case fatality rate was 5/1000 and 93% of the children who died were under 9 years. Highest risk of death was associated with delay in seeking treatment and severity of illness before admission. Omdurman Hospital in Khartoum had the best case- management performance index compared to the other hospitals
