Outcome of malaria cases in a tertiary care hospital with predominantly tribal population
Dulhani NK1, Khan Y2
1Associate Professor, 2Professor; Department of Medicine, Late BRK Memorial Medical College, Jagdalpur, Chattisgarh, India
The study was aimed to study the outcome of Malaria cases admitted in the medicine department of the tertiary care hospital at LATE BRK MEMORIAL MEDICAL COLLEGE JAGDALPUR (C.G), INDIA. and also to see the response of treatment. The cases were attended from Jagdalpur city and nearby districts and villages.
Material and method:
This was an observational study, which was conducted at LATE B R K MEMORIAL MEDICAL COLLEGE, Jagdalpur, which is a tribal state. The study was carried out from 1st January 2017 to 30th september 2017 for a period of 9 months. Total cases were 362 confirmed cases of malaria admitted in medicine department. Confirmation was done by peripheral smear, RDT and parasite quality buffy coat (MP-QBC).
In our study, subjects enrolled were 362 cases of confirmed Malaria. Age group included were from 15 to 80 years. The mean age of the patients was 49.05 (±14.35) years. The percentage of male were 66.02% (n=239) and female were 33.97% (n=123).Complicated malaria was demonstrated in 260 (71.8%) and uncomplicated malaria in 108 (29.8%). Out of these tribal population comprised of 195 (53.8%) rural 97 (26.7%) and urban population was 70 (19.33%).The mortality reported after treatment in complicated malaria was 74 (20.4%) and no mortality was reported in uncomplicated malaria.
In this tribal region of Chhattisgarh, current study depicted that, in spite of patients receiving adequate treatment the mortality was high in complicated malaria and population living in tribal area as compared to uncomplicated malaria. Complicated malaria is a poor prognostic factor.
Keywords: complicated malaria, malaria, treatment outcome, falciparum malaria, vivax malaria.