Keywords
anemia
cerebral malaria
child
Maradi
Niger
How to Cite
Abstract
Objective :
To study the epidemiological, diagnostic and prognostic aspects of severe malaria in children at the CHR of Maradi.
Patients and method :
This was a cross-sectional and descriptive study for the period from July 1 to October 31, 2021. Included were children aged 0-15 years admitted to the Maradi CHR for severe malaria.
Results :
From July 1 to October 31, 2021 (4 months), 1040 children were hospitalized in the pediatric departments of the Maradi regional hospital; the diagnosis of severe malaria was made in 406 patients meeting the inclusion criteria, i.e. 39.3%. Severe anemia (hb<5g/dl) was the clinical manifestation of severe malaria most frequently found in our patients (58%), followed by convulsions (28.6%). The average duration of hospitalization was 7 days with extremes ranging from 0 days to 45 days. The evolution was favorable in 93.3% patients. Five patients (0.5%) were discharged with neurological s overall lethality was 6.7%. These were mainly children with severe anemia, neurological disorders such as seizures, severe malnutrition and respiratory distress.
Conclusion :
Severe childhood malaria is a public health problem due to its frequency, its clinical polymorphism and its evolution. Deaths relate mainly to anemic and neurological forms. Reducing malaria mortality is based both on an improvement in the nutritional status of children and a good transfusion policy as well as an improvement in resuscitation and prevention measures.
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Copyright (c) 2026 M Harouna Amadou, L Rabiou Kaka, S Kadri, A Hachimou, A Ibrahim, A Ibrahim Mamadou, O Amadou, C Maidaoualé, I Georges Thomas, M Doutchi