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Clinical presentation of childhood malaria in Savannakhet province, Lao PDR

O Anothay1, T Pongvongsa, N Maharat

  • 1Savannakhet Provincial Hospital, Lao PDR.

The Southeast Asian Journal of Tropical Medicine and Public Health
|June 21, 2001
PubMed

Insights

Delayed treatment for childhood malaria in Laos is linked to altered consciousness levels. Early intervention is crucial for better outcomes in pediatric malaria cases.

Area of Science:

  • Tropical Medicine
  • Pediatrics
  • Infectious Diseases

Background:

  • Childhood malaria remains a significant health concern in endemic regions.
  • Understanding the clinical presentation is vital for timely diagnosis and management.
  • Savannakhet Province, Lao People's Democratic Republic, faces a considerable burden of pediatric malaria.

Purpose of the Study:

  • To describe the clinical features of malaria in children aged 1-14 years.
  • To investigate the association between malaria severity and treatment initiation or delay.
  • To identify clinical indicators of severe malaria in a pediatric population.

Main Methods:

  • A descriptive study involving 92 children (1-14 years) with confirmed malaria.
  • Data collection on clinical signs, symptoms, and treatment history.
  • Statistical analysis to determine associations between clinical parameters and disease duration.

Main Results:

  • Over half of the children (60.9%) experienced illness for less than 3 days before hospitalization.
  • Significant associations were found between consciousness levels and illness duration (>3 days associated with altered consciousness).
  • Common symptoms included vomiting (51.1%), hepatomegaly (19.6%), and splenomegaly (20.7%).

Conclusions:

  • Delayed treatment in childhood malaria is associated with neurological complications, specifically altered consciousness.
  • Clinical presentation varies, with vomiting and organomegaly being frequent.
  • Early diagnosis and prompt treatment are critical for improving outcomes in pediatric malaria patients.

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