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
Related Articles
- EP ID EP312808
- DOI 10.9734/IJTDH/2017/36787
- Views 46
- Downloads 0
Histopathological Pattern of Thyroid Diseases in Abuja, Nigeria Capital City: A Review of One Hundred and One Consecutive Cases
This study is a histopathological review of 101 consecutive thyroidectomy specimen processed and histologically diagnosed in Anatomic Pathology Department of Asokoro District Hospital, Abuja, Nigeria new capital city bet...
The Synergy of Diet, Exercises and Lifestyle Modification for the Prevention of Osteoporosis
This paper did a review of literature on osteoporosis, the risk factors, the consequences, and the prevention through the synergy of diet, exercises and appropriate lifestyle modification. Osteoporosis is a condition in...
Sexual Activity and Emergency Contraception among Female Students in the University of Rwanda
Background: Less is known about sexual activity, unwanted pregnancy rate, and emergency contraception decision-making among female students in Rwandan Higher Education. By gathering such information, we are better able t...
Prevalence of Human Immunodeficiency Virus and Plasmodium falciparum Dual Infection amongst Residents of Kaduna South in North Western Nigeria
The possibility of co-infection between malaria and HIV in Nigeria is of tremendous public health concern. The study was designed to investigate the prevalence of malaria and HIV dual infection. A total of one hundred an...
Community Knowledge and Perceptions on Malaria and Its Prevention and Control in the Akwapim North Municipality, Ghana
Background: Malaria is an important cause of morbidity and mortality especially among children less than five years in the Akwapim North Municipality of the Eastern Region of Ghana. Knowledge of community members in mala...