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Imported childhood malaria: the Dublin experience, 1999-2006

T R Leahy1, A Malikiwi, M Cafferkey

  • 1Department of Paediatrics, Adelaide and Meath Hospitals, incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. tronanleahy@hotmail.com

Irish Journal of Medical Science
|May 2, 2009
PubMed

Insights

Imported childhood malaria cases in Ireland primarily involved Plasmodium falciparum, affecting both immigrants and travelers. Enhanced malaria prophylaxis and clinical guidelines are crucial for Irish healthcare providers.

Area of Science:

  • Tropical medicine
  • Pediatric infectious diseases

Background:

  • Imported childhood malaria is a significant health concern for travelers returning from endemic areas.
  • Limited data exists on the epidemiology and clinical management of childhood malaria in Ireland.

Purpose of the Study:

  • To determine the incidence and species of malaria in children presenting to Dublin pediatric hospitals.
  • To analyze the management and outcomes of childhood malaria cases in Ireland.

Main Methods:

  • Retrospective analysis of laboratory archives from three Dublin pediatric hospitals.
  • Extraction of clinical and laboratory data from patient records.

Main Results:

  • 67 malaria episodes were identified in 66 children, including immigrants and Irish residents returning from endemic regions.
  • Plasmodium falciparum was the predominant species (95%), with 26 cases having >2% parasite load.
  • Eighteen children experienced complications, but all cases were successfully treated.

Conclusions:

  • Malaria prophylaxis is underutilized among travelers to endemic regions, necessitating increased awareness and promotion by Irish healthcare practitioners.
  • Development of specific management guidelines is recommended to support Irish clinicians in treating childhood malaria effectively.
Abstract

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