Epidemiological and Clinical Profile of Severe Malaria in Children Aged 6 Months to 15 Years at the Koutiala Regional Hospital in Mali
Sacko Karamoko *
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Waigalo Cheick
Koutiala Reference Health Centre, Mali.
Kalirou Traoré
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Maiga Belco
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Konaré Hawa
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Konaté Djeneba
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Dembélé Adama
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Touré Amadou
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Traoré Fousseyni
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Dembele Salif
Koutiala Reference Health Centre, Mali.
Dembélé Hawa
Paediatrics Department, Mali Gavardo Hospital, Mali.
Coulibaly Oumar
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Cissé Mohamed Elmouloud
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Togo Pierre
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Doumbia Abdoul Karim
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Maiga Leyla
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Sidibé Lala N’drainy
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Doumbia Aminata
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Ouattara Arouna
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Traore Bory
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Coulibaly Yacouba
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Simaga Tati
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Ahamadou Ibrahim
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Sangaré Aboubacar
Paediatrics Department, Mali Hospital, Mali.
Diakité Abdoul Aziz
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Dicko Fatoumata
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Togo Boubacar
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
Sylla Mariam
Department of Paediatrics, Gabriel Toure University Hospital, Mali.
*Author to whom correspondence should be addressed.
Abstract
In Mali, malaria is endemic in the central and southern regions and has an epidemic potential in the later.
Objective: to describe the epidemiological, clinical and therapeutic aspects of severe and complicated malaria in children aged between 6 months and 15 years in paediatric wards at the Koutiala regional hospital.
Material and Methods: This was a prospective cross-sectional study conducted from 1st April 2018 to 31st March 2019 among children aged 6 months to 15 years old hospitalised for severe malaria. Data analysis was performed with SPSS version 18 software and word processing with Microsoft Word and Excel 2016 software.
Results: Severe malaria accounted for 10% of hospital admissions (1280 cases/12441consultations), the sex ratio was 1.09 and children aged between 6 and 59 months represented 75.9% of patients.It is the second cause of hospitalisation after pulmonary tract infections. Severe anaemic malaria was the most common form, accounting for 54.69% of cases, followed by neurological malaria (29.64%) and hypoglycaemia (7.19%). At discharge, 90% of patients had no sequelae, 2% had sequelae, and the case fatality rate was 8%.
Conclusion: Severe malaria accounted for 10% of hospital admissions. The main clinical signs on admission were fever in 83.83% of cases. Severe anaemic malaria was the most common form, accounting for 54.69% of cases
Keywords: Haemolytic erythrocytopathy, Malaria, immunity, insecticide