دورية أكاديمية
Malaria Diagnosis at the Pediatric Emergency Unit of a Teaching Hospital in Makurdi, North Central Nigeria.
| العنوان: | Malaria Diagnosis at the Pediatric Emergency Unit of a Teaching Hospital in Makurdi, North Central Nigeria. |
|---|---|
| المؤلفون: | Michael A; Department of Pediatrics, Benue State University/ Benue State University Teaching Hospital, Makurdi., Samba NB; Department of Pediatrics, Benue State University Teaching Hospital, Makurdi., Adikwu MG; Department of Pediatrics, Benue State University Teaching Hospital, Makurdi., Ochoga MO; Department of Pediatrics, Federal University of Health Sciences, Otukpo., Akpan JU; Department of Pediatrics, Federal Medical Center, Makurdi., Eseigbe EE; Department of Pediatrics, Benue State University/ Benue State University Teaching Hospital, Makurdi. |
| المصدر: | Ethiopian journal of health sciences [Ethiop J Health Sci] 2024 Jan; Vol. 34 (1), pp. 39-46. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Research and Publications Office of Jimma University Country of Publication: Ethiopia NLM ID: 101224773 Publication Model: Print Cited Medium: Internet ISSN: 2413-7170 (Electronic) Linking ISSN: 10291857 NLM ISO Abbreviation: Ethiop J Health Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Jimma, Ethiopia : Research and Publications Office of Jimma University |
| مواضيع طبية MeSH: | Hospitals, Teaching*/statistics & numerical data , Antimalarials*/therapeutic use , Emergency Service, Hospital*/statistics & numerical data , Malaria*/diagnosis , Malaria*/drug therapy , Malaria*/epidemiology, Humans ; Nigeria/epidemiology ; Retrospective Studies ; Child, Preschool ; Female ; Male ; Child ; Infant ; Artemisinins/therapeutic use ; Adolescent |
| مستخلص: | Background: Globally, there were 241 million cases of malaria in 2020, with an estimated 627,000 deaths with Nigeria accounting for 27% of the global malaria cases. In sub-Saharan Africa, testing is low with only 28% of children with a fever receiving medical advice or a rapid diagnostic test in 2021. In Nigeria, there are documented reports of over-diagnosis and over-treatment of malaria in children. Therefore, this study examined the diagnosis of malaria at the Benue State University Teaching Hospital, Makurdi. Methods: A 5-year (2018-2022) retrospective study was carried out at the Emergency Pediatric Unit (EPU). Records of all children presenting to the EPU with an assessment of malaria were retrieved and reviewed. Data was analyzed using SPSS 23. Results: Out of 206 children reviewed, 128 (62.1%) were tested using either malaria RDT or microscopy while 78(37.9%) were not tested. Out of the number tested, 59(46.1%) were negative while 69(53.9%) tested positive, of which 14(20.3%) had uncomplicated malaria while 55(79.7%) had severe malaria. However, while 97.1% (n=67) of the positive cases were treated with IV artesunate, 69.5% (n=41) of those who tested negative and 88.5% (69) of those who were not tested also received IV artesunate. Moreover, while 85.5% (n=59) of those who tested positive received oral artemisinin-based combination therapy (ACT), 72.9% (n=43) of those who tested negative and 67.9% (53) of those who were not tested also received oral ACT. Conclusion: There was over-diagnosis of malaria, and subsequently, over-treatment. Hence continued emphasis on parasitological confirmation of malaria before treatment is recommended. (© 2024 Michael A., et al.) |
| References: | Am J Trop Med Hyg. 2021 May 03;104(6):2123-2130. (PMID: 33939628) PLoS One. 2012;7(9):e44269. (PMID: 22970193) PLoS Med. 2009 Jan 6;6(1):e252. (PMID: 19127974) Glob Health Res Policy. 2019 Jan 19;4:1. (PMID: 30680328) Malar J. 2016 Feb 27;15:126. (PMID: 26921263) Pan Afr Med J. 2018 Aug 01;30:242. (PMID: 30574261) Malar J. 2010 Aug 22;9:240. (PMID: 20727214) Acta Trop. 2017 Jul;171:58-63. (PMID: 28356231) BMC Public Health. 2022 Jun 6;22(1):1130. (PMID: 35668378) Pan Afr Med J. 2017 Nov 28;28:273. (PMID: 29881513) |
| فهرسة مساهمة: | Keywords: Malaria; emergency unit; hospital; over-diagnosis |
| المشرفين على المادة: | 0 (Antimalarials) 0 (Artemisinins) |
| تواريخ الأحداث: | Date Created: 20240703 Date Completed: 20240703 Latest Revision: 20240704 |
| رمز التحديث: | 20240704 |
| مُعرف محوري في PubMed: | PMC11217796 |
| DOI: | 10.4314/ejhs.v34i1.5 |
| PMID: | 38957335 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2413-7170 |
|---|---|
| DOI: | 10.4314/ejhs.v34i1.5 |