TITLE:
Study of Malaria in Patients Operated on at the Reference Health Center of Commune I Bamako
AUTHORS:
Tounkara Cheickna, Samaké Hamidou, Koné Abdoulaye, Maiga Boubacar, Diarra Yaya, Kayentao Kassoum, Dolo Amadou, Diallo Mouctar
KEYWORDS:
Malaria, Plasmodium, Surgery, Fever, Thick Gout, Rapid Diagnostic Test
JOURNAL NAME:
Surgical Science,
Vol.14 No.9,
September
28,
2023
ABSTRACT: Malaria is a febrile and hemolyzing erythrocytopathy due to the
development and multiplication of one or more of the five plasmodial species
dependent on humans: Plasmodium
falciparum, P. malariae, P. ovale, P. vivax and P. knowlesi. These parasites are inoculated into humans by the
infective bite of a female mosquito, female anopheles of the genus Anopheles,
during a blood meal. The study aimed to: determine the frequency of fever due to malaria after
surgery; describe malaria symptomatology and clinical evolution after surgical
intervention; determine the average length of hospital stay for operated
patients with malaria; evaluate the average cost of malaria treatment. This
was a prospective study which involved 110 operated patients, which took place
over a period of 12 months from March 2017 to February 2018 in the general
surgery department at the Reference Health Center of commune I of the Bamako
district. The frequency of malaria was 11.82% before the intervention and 3.64%
after the intervention, with an average age of 29.80 years; extremes of 2 years
and 76 years and a sex ratio of 1.5 in favor of the male sex. The main clinical
signs were fever (38.18%), headache (20.91%) and vomiting (36.36%) and physical
asthenia (18.18%). Diagnosed and treated early, malaria progressed favorably.
The outcome was simple for all our patients and we did not record any deaths.
The cost of treatment was borne by the patients and/or their families. The
average cost of treatment was 7915 CFA francs, significantly below the Malian
minimum wage which is around 30,000 FCFA. The
implementation of preventive measures is necessary to reduce the importance of
malaria in hospitals: staff awareness, indoor spraying, use of impregnated
mosquito nets.