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Malaria diarrhoea in children

R Laurentz1, P S Manoempil

  • 1Liun Kendage District General Hospital, Indonesia.

Asia-Pacific Journal of Public Health
|January 1, 1995
PubMed

Insights

Malaria-associated diarrhea in children is common and often mistaken for other causes. Children with malaria and diarrhea, primarily caused by Plasmodium falciparum, experienced longer hospital stays.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Tropical Medicine

Background:

  • Diarrhea is a significant health issue in children, especially in malaria-endemic regions.
  • Malarial diarrhea can present variably and be clinically indistinguishable from other diarrheal diseases.

Purpose of the Study:

  • To determine the proportion of malaria infection among children with diarrhea.
  • To compare the clinical characteristics and outcomes of diarrhea with malaria versus diarrhea without malaria.

Main Methods:

  • A descriptive study was conducted between January 1992 and December 1994.
  • Data were collected and analyzed from 2,013 hospitalized children.
  • Cases were categorized based on the presence or absence of malaria infection.

Main Results:

  • Out of 421 children with diarrhea, 150 (35.63%) had malaria infections, all caused by Plasmodium falciparum.
  • The majority of malaria-associated diarrhea cases occurred in children under one year of age, with fever as a predominant symptom.
  • Children with malaria and diarrhea had a longer length of hospital stay compared to those with diarrhea alone.

Conclusions:

  • Plasmodium falciparum is a significant cause of diarrhea in hospitalized children in endemic areas.
  • Malaria-associated diarrhea in young children presents with fever and leads to prolonged hospitalization.
  • Distinguishing malarial diarrhea is crucial for appropriate management and improved patient outcomes.

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