EAS Publisher | Management of Severe and Complicated Malaria in Adults in the Emergency Department of the Regional Hospital of Maradi (Niger)

Management of Severe and Complicated Malaria in Adults in the Emergency Department of the Regional Hospital of Maradi (Niger)

DOI : https://doi.org/10.36349/easms.2022.v05i01.003

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Introduction: In sub-Saharan Africa malaria is the 1st cause of consultation and hospitalization and the 2nd cause of death in health centres. Maradi region is one of the most malaria-endemic areas with periods of high prevalence, particularly during the rainy season, due to the heavy rainfall that occurs between May and October. Methods: This is a descriptive cross-sectional study conducted in the emergency department of the Regional Hospital Centre of Maradi from August 1st to August 31st, 2017. Results: 104 patients were admitted to the adult emergency department for severe malaria out of 305 admissions to the centre, i.e., a prevalence of 34.1%. Our sample was composed of 53.84% men (n=56). The average age of our patients was 38.6 years with extremes ranging from 15 to 90 years. Most of the patients had no comorbidity (80.76% of cases). Thick blood drop was used for diagnosis in 93.25% of cases (n=97). The main clinical manifestations were: neurological forms (34, 61% n=36), severe anemia (31, 73% n=33). Conclusion: This study shows that malaria is a major public health problem in sub-Saharan Africa and particularly in Niger because of its prevalence, severity and morbidity.

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