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SPECTRUM OF MALARIA (Six months hospital based cross sectional descriptive study)

ABSTRACT:

OBJECTIVE: To determine the spectrum of malaria at Liaquat University Hospital.
PATIEHTS AND METHODS: This descriptive type cross sectional study was conducted at tertiary care hospital. All patients above 12 years of age, of either gender present with shaking chills, high grade fever, sweating and are often associated with fatigue, headache, dizziness, nausea, vomiting, abdominal cramps, dry cough, muscle or joint pain, back ache or fever with unconsciousness and febrile seizers were enrolled and evaluated for presence of malaria through thick and thin blood smear slides. The spectrum was identified by the number of malarial cases and type of malarial species.
RESULT: Out of 114 suspected cases of malaria, 92(81%) were found to be positive for malarial parasite on blood smear slides with mean age 37.23 � 8.51 (SD).The plasmodium vivax was identified in 43(47%) patients while plasmodium falciparum was in 49(53%) subjects. The fever was observed in all subjects, chills in 65(71%) patients, nausea and vomiting in 55(60%) subjects, abdominal pain and cramps in 15(16%) patients, diarrhea in 20(22%) patients, headache in 70(76%) patients, sweating in 65(71%) patients, hamaturia in 8(9%) patients, seizures in 15(16%) patients, fatigue in 50(54%) patients, backache in 42(46%) patients, and joint pain in 18(20%) patients. Out of ninety two, 30(33%) patients were unconscious, 14(15%) were semiconscious and 48(52%) patients were conscious.

CONCLUSION: Plasmodium vivax and falciparum were common species identified in our study. The findings provide a baseline for evidence-based planning and implementation of malaria control activities.

Author(s):
Bikha Ram Devrajani, MUKHTIAR HUSSAIN JAFFERY, Syed Zulfiquar Ali Shah

Publishing Source:
M E D I C A L C H A N N E L OCTOBER - DECEMBER 2009


Year:
2009

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