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| Presentation, Risk Factors and Management of Malaria in Children attending Pediatrics Teaching Hospital, Gezira State, Sudan
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Sana Ibrahim, Mohamed MY, Yousif Abdelhameed Mohammed, Bakri Yousif M. Nour, and Abuagla M. Dafalla
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Abstract:
Malaria is a protozoan vector borne disease caused by well-known five species in human , Plasmodium(P) falciparum, P. vivax, P. malari , P. ovale. And P. knowlesi which is common exclusively in Southeast Asia with most prevalent to P.falciparum . Children are included in the groups of high risk of getting malaria with pregnant women and HIV/ AIDS patients. About 80% of death due to malria in Africa region is in children less than five years old. The cornerstone test and the gold stander one for diagnosis and clinical trials is the microscopy on blood smears using thick and thin blood films. This study aims to estimate presentation, risk factors and management of malaria in children attending to pediatrics teaching hospital in Wad Medani city .Gezira state .Sudan. Total of 140 samples were collected from children aged between month - 18 years during the period May -July 2021.All children were positive to P.falciparum, The parasitemia was detected using plus system and parasite percentage. Most of these children are in age of month - 6 years (85%) of the sample size and (85.7%) of them were had severe malaria (++++ and +++) and (83.9%) had parasite percentage of (0.1-2.0)%. Also fever was found to be the major symptom with (45.7%) from all symptoms. There was significant correlation between disease severities with water stagnant with P.value (0.001).Also there was significant correlation between history of infection correlated with treatment with P.value (0.006). The study reveal the need for strong interval ling and control program to stop the high risk of morbidity and mortality regarding the study group. Also there is strong need for education about the type a, dose and timing of drugs.
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