E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Research 


Pattern of malaria in hospitalized children in Khartoum state

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali.


Abstract
Malaria remains a major health problem in Sudan with significant morbidity and mortality particularly in children. We prospectively studied children with malaria admitted to an Emergency Department in Khartoum (August-November 2014). Malaria diagnosis was based on a positive blood smear and rapid diagnostic test. The aim was to study the clinical and laboratory features and short-term outcome of malaria among hospitalized children. Data collected from 112 children (males; 56.3%) who fulfilled the criteria for diagnosis of malaria of whom 72.3% had severe malaria and 27.7% uncomplicated malaria (UM). The mean age was 69.2 ± 54.5 months. Hyperparasitemia was detected in 53% of positive blood smears. Plasmodium falciparum was detected in 69.4%, P. vivax in 26.5%, and mixed species in 4.1%. The risk of severe malaria was significantly higher in patients with hyperparasitemia and P. vivax infection (P = 0.001 and P = 0.014 respectively). Severe malaria cases had significantly higher prevalence of thrombocytopenia and lower mean platelet count than those with UM, P = 0.001 each. Serious complications of severe malaria were cerebral malaria, severe malaria anaemia and acute kidney injury (AKI). The overall case fatality rate was 5.3% and that from severe disease was 4.9%. All deaths were among <60 months-olds and were due to P. falciparum infection with AKI being the only significant risk factor for death (P = 0.045). In Khartoum state, UM is still an important cause of morbidity in children. P. vivax has emerged as a causative species of severe malaria. The lower mortality rate of malaria probably reflects improvement in health care.

Key words: Malaria; Children, Severe malaria, Sudan


 
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How to Cite this Article
Pubmed Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. Pattern of malaria in hospitalized children in Khartoum state. Sudan J Paed. 2017; 17(2): 35-41. doi:10.24911/SJP.2017.2.4


Web Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. Pattern of malaria in hospitalized children in Khartoum state. https://sudanjp.com//?mno=280469 [Access: June 16, 2024]. doi:10.24911/SJP.2017.2.4


AMA (American Medical Association) Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. Pattern of malaria in hospitalized children in Khartoum state. Sudan J Paed. 2017; 17(2): 35-41. doi:10.24911/SJP.2017.2.4



Vancouver/ICMJE Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. Pattern of malaria in hospitalized children in Khartoum state. Sudan J Paed. (2017), [cited June 16, 2024]; 17(2): 35-41. doi:10.24911/SJP.2017.2.4



Harvard Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali (2017) Pattern of malaria in hospitalized children in Khartoum state. Sudan J Paed, 17 (2), 35-41. doi:10.24911/SJP.2017.2.4



Turabian Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. 2017. Pattern of malaria in hospitalized children in Khartoum state. Sudanese Journal of Paediatrics, 17 (2), 35-41. doi:10.24911/SJP.2017.2.4



Chicago Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. "Pattern of malaria in hospitalized children in Khartoum state." Sudanese Journal of Paediatrics 17 (2017), 35-41. doi:10.24911/SJP.2017.2.4



MLA (The Modern Language Association) Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali. "Pattern of malaria in hospitalized children in Khartoum state." Sudanese Journal of Paediatrics 17.2 (2017), 35-41. Print. doi:10.24911/SJP.2017.2.4



APA (American Psychological Association) Style

Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali (2017) Pattern of malaria in hospitalized children in Khartoum state. Sudanese Journal of Paediatrics, 17 (2), 35-41. doi:10.24911/SJP.2017.2.4





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