Evaluation Of The Quality Of Care For Severe Malaria In Children Aged 0-59 Months At The Lisungi Hospital Center In The Commune Of Mont-Ngafula In Kinshasa, DR Congo.

Freddy MULAMBA KABONGO, Rosie MUBINDUKILA NZAMBA, Armand AYINA MAYUMBU, Eric BOMBALA, Jean-Jacques AMOGU, Arsène TSHIBUABUA, Jean Lotaire ANGOBOY, Fiston MASIKINI BOMBAMU

Abstract


Background. Malaria remains a major public health problem worldwide. It is the most widespread parasitic disease in the world. Children under 5 years of age account for the majority of deaths from this scourge. Objective. The aim of this work is to describe the clinical, biological aspects and complications of malaria in children aged 0 to 59 months. Materials and methods. This retrospective documentary study was carried out during a period from JANUARY 4 to NOVEMBER 4, 2023 on a sample of 34 children received at the LISUNGI Hospital Center. Results. The most affected age group was between 24 - 35 months in 32.4% of cases. Males were the most affected with 67.6% of cases with a sex ratio of 2.09. Mont- Ngafula was the commune of origin of most patients, or 61.8% of cases. Anemia was the most common reason for consultation, or 32.4%, followed by fever in 26.5% of cases. The majority of cases had impaired consciousness, coma, or 41.2%. The thick drop was positive in 82.4% of cases, with a parasitemia of less than 250,000 trohozoites / ul in 76.5% of the 34 cases. Artesunate was the most used molecule, or 61.8%. The evolution of the patients was marked by recovery in 73.5% of cases with a death rate of 14.7% of cases. Conclusion. The age group of 0 to 59 months is the most affected by malaria of all forms; the neurological form of severe malaria is the most found, causing a good number of deaths. Malaria is therefore a real public health problem for which preventive measures must be undertaken.


Keywords


Severe malaria, Lisungi Hospital Center, Child, Kinshasa.

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DOI: http://dx.doi.org/10.52155/ijpsat.v48.2.6809

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