SciELO - Scientific Electronic Library Online

 
vol.20 issue1Effectiveness of mobile technology and weight gain in pregnant women in Callao, PeruKnowledge, attitudes, perceptions and community practices for urban malaria. Tumaco, Colombia author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista de Salud Pública

Print version ISSN 0124-0064

Abstract

MURILLO-PALACIOS, Olga L. et al. Complicated Malaria in Chocó: clinical findings and data comparison with the monitoring system. Rev. salud pública [online]. 2018, vol.20, n.1, pp.73-81. ISSN 0124-0064.  http://dx.doi.org/10.15446/rsap.v20n1.50077.

Objectives

To describe the epidemiological and clinical cases of complicated malaria and to establish the concordance of this information in the surveillance system.

Methodology

Information was obtained from medical records of cases reported in 2011 in the surveillance system and the Hospital San Francisco. We selected a clinical sample of 62 stories of 113 cases and health professionals reviewed the information. The presence of positive thick drop with one or more criteria of complication was taken into account to define if the clinical history corresponded to complicated malaria, according to guide national clinic and tab of the surveillance system. Statistical significance was determined with Chi square and the Kappa statistic.

Results

The 37.0% of cases presented a complication, 63.0% had two or more complications. Major complications were thrombocytopenia and severe anemia, followed by hepatic complication, hiperparasitemia, renal insufficiency and cerebral malaria. In 3 of the 54 cases intravenous artesunate was used, quinine was used in 59.2%. Comparison of demographic variables and parasitic species between history and the surveillance system show no significant difference but type of complication was almost nil. The major reported complications do not appear on the notification tab.

Discussion

Further studies need to be continued in order to contribute to the clinical characterization of malaria in the Department and Management interventions. Adjustments to format are recommended to strengthen analysis and decision-making.

Keywords : Malaria; complications; severe; surveillance (source: MeSH, NLM).

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )