Evaluation of the Care of Children Aged 0 to 10 Years Hospitalized for Severe Malaria at the Tambacounda Health Center, Senegal  

作　　者：Tidiane Gadiaga Aminata Fall Alioune Badara Gueye Siré Sagna Bayal Cissé Mouhamadou Faly Ba Médoune Ndiop Babacar Gueye Samba Cor Sarr Sylla Thiam Elhadji Ba Konko Ciré Jean Louis Abdou Ndiaye Issa Wone Tidiane Gadiaga;Aminata Fall;Alioune Badara Gueye;Siré Sagna;Bayal Cissé;Mouhamadou Faly Ba;Médoune Ndiop;Babacar Gueye;Samba Cor Sarr;Sylla Thiam;Elhadji Ba Konko Ciré;Jean Louis Abdou Ndiaye;Issa Wone(Directorate of Research Planning and Statistics, Ministry of Health and Social Action, Dakar, Senegal;Faculty of Medicine, Assane Seck University of Ziguinchor, Ziguinchor, Senegal;Presidents Malaria Initiative USAID, Dakar, Senegal;Tambacounda Health District, Ministry of Health and Social Action, Tambacounda, Senegal;Institute of Health and Development, Faculty of Medicine, Cheikh Anta Diop University, Dakar, Senegal;National Malaria Control Program (NMCP), Dakar, Senegal;UFR Sant, Faculty of Medicine, Iba Der Thiam University of This, This, Senegal)

机构地区：[1]Directorate of Research Planning and Statistics, Ministry of Health and Social Action, Dakar, Senegal [2]Faculty of Medicine, Assane Seck University of Ziguinchor, Ziguinchor, Senegal [3]Presidents Malaria Initiative USAID, Dakar, Senegal [4]Tambacounda Health District, Ministry of Health and Social Action, Tambacounda, Senegal [5]Institute of Health and Development, Faculty of Medicine, Cheikh Anta Diop University, Dakar, Senegal [6]National Malaria Control Program (NMCP), Dakar, Senegal [7]UFR Sant, Faculty of Medicine, Iba Der Thiam University of This, This, Senegal

出　　处：《Advances in Infectious Diseases》2024年第3期581-594,共14页传染病进展（英文）

摘　　要：Introduction: Malaria remains a public health priority in Senegal, particularly in Tambacounda, where it is one of the main causes of child mortality. The objective of this work was to evaluate the care of children under 10 years of age hospitalized at the Tambacounda Health Center and the factors associated with recovery. Methods: An analytical, retrospective, and descriptive cross-sectional study with exhaustive recruitment of children 0 to 120 months hospitalized at the Tambacounda reference health center for severe malaria (according to WHO criteria) between 1 January 2018 and 31 December 2021 was performed. Data collection was done through a questionnaire. Records, hospitalization records, and treatment records were the sources of collection. Data entry and analysis were performed on Epi Info 7.2 and R. Results: A total of 481 children hospitalized with severe malaria were recruited. The highest number of cases was recorded in 2018 (33.05%). In the four years of the study, peaks were always observed between October and November and the highest peak in November 2020 with 95 cases. The mean age was 65.64 months with a standard deviation of 29.28 months and a predominance of male (53.43%). The majority of people were admitted from the outpatient clinic (57.79%) and the rest (42.21%) on the recommendation of a peripheral health post. All hospitalized patients had a positive RDT and/or a positive thick drop. However, the sharp decline at admission or during hospitalization was positive in 93.80% of patients in our series, negative in 5.20% and not achieved in 1.00%. Seizures and severe anemia topped the list of signs of severity with 45.94% and 8.11%, respectively. In terms of evolution, for all hospitalized patients, there were 81.29% recovery, 10.19% referral to the Tambacounda regional hospital center for hospitalization, 4.99% death, 0.83% discharge and 2.70% unknown evolution. There was a statistically significant association between recovery without referral from a health post (OR = 1.85), absence of 2 or mIntroduction: Malaria remains a public health priority in Senegal, particularly in Tambacounda, where it is one of the main causes of child mortality. The objective of this work was to evaluate the care of children under 10 years of age hospitalized at the Tambacounda Health Center and the factors associated with recovery. Methods: An analytical, retrospective, and descriptive cross-sectional study with exhaustive recruitment of children 0 to 120 months hospitalized at the Tambacounda reference health center for severe malaria (according to WHO criteria) between 1 January 2018 and 31 December 2021 was performed. Data collection was done through a questionnaire. Records, hospitalization records, and treatment records were the sources of collection. Data entry and analysis were performed on Epi Info 7.2 and R. Results: A total of 481 children hospitalized with severe malaria were recruited. The highest number of cases was recorded in 2018 (33.05%). In the four years of the study, peaks were always observed between October and November and the highest peak in November 2020 with 95 cases. The mean age was 65.64 months with a standard deviation of 29.28 months and a predominance of male (53.43%). The majority of people were admitted from the outpatient clinic (57.79%) and the rest (42.21%) on the recommendation of a peripheral health post. All hospitalized patients had a positive RDT and/or a positive thick drop. However, the sharp decline at admission or during hospitalization was positive in 93.80% of patients in our series, negative in 5.20% and not achieved in 1.00%. Seizures and severe anemia topped the list of signs of severity with 45.94% and 8.11%, respectively. In terms of evolution, for all hospitalized patients, there were 81.29% recovery, 10.19% referral to the Tambacounda regional hospital center for hospitalization, 4.99% death, 0.83% discharge and 2.70% unknown evolution. There was a statistically significant association between recovery without referral from a health post (OR = 1.85), absence of 2 or m

关 键 词：Severe Malaria CHILDREN Tambacounda Senegal 

分 类 号：R53[医药卫生—内科学]