%0 Journal Article
%T Paludismo grave y complicado en ni os. Hospital regional de Bata. Guinea Ecuatorial. 2003 Severe and complicated malaria in children at ¡°Bata¡± Regional Hospital- Equatorial Guinea
%A Sandra Hern¨¢ndez Garc¨ªa
%A Miguel ¨¢ngel Rodr¨ªguez Arencibia
%A Mar¨ªa Nelly Hern¨¢ndez Garc¨ªa
%A Mar¨ªa Isabel Basab¨¦ M¨¢rquez
%J Revista de Ciencias M£¿£¿dicas de Pinar del R£¿-o
%D 2005
%I Editorial Ciencias M¨¦dicas
%X El paludismo grave es el causado por el Plasmodium falciparum, que cada a o cobra millones de vidas en los pa¨ªses del tercer mundo, siendo los ni os los m¨¢s afectados, por este motivo se realiz¨® estudio prospectivo, descriptivo transversal de los pacientes pedi¨¢tricos que ingresaron con gota gruesa positiva a plasmodium falciparum, del mes de enero a julio del a o 2003 en el hospital regional de Bata en Guinea Ecuatorial. Se encontr¨® que el 49% de los ingresos correspondieron a los ni os de 1-4 a os, siguiendoles los menores de un a o con 34,5% de casos. Se encontr¨® que el 24% de los ni os solo permanecieron un d¨ªa en el hospital y el 67% de 2-5 d¨ªas. Presentaron complicaciones 35,5% de los ingresados, la anemia severa fue la complicaci¨®n que m¨¢s se present¨® (17,3%), los trastornos hidroelectrol¨ªticos le siguieron con un 10%. Fallecieron 16 ni os, de ellos con anemia severa 10 para (62,5%), con estad¨ªa de menos de un d¨ªa fallecieron 7 pacientes y de 2-5 d¨ªas otros 7 ni os y entre los 6-13 d¨ªas hubo 2 muertes. La principal recomendaci¨®n fue que los ni os con sospecha de paludismo deben ser atendidos inmediatamente para evitar las graves complicaciones de ¨¦sta enfermedad. Severe malaria is caused by Plasmodium falciparum taken millions of lives in Third World countries every year and being children the most affected. A descriptive, prospective, cross "sectional and correlational-casual study was carried out with pediatric patients who were admitted at Bata Regional Hospital in Equatorial Guinea after practicing a thick" film method test with positive results of plasmodium falciparum from January to July 2003, aimed at establishing clinical features of children affected by plasmodium falciparum determining the number of admissions, stay in hospital, complications and mortality, scientific methods used were empiric; analyzing documents and verbal interviews, statistic methods were: parametric samples and percentage-mean, using descriptive statistics. It was determined that 49 % of the admitted children were 1-4 years old, followed by children under 1 year old (34.5 %) of the cases, 24 % of the children stayed one day in the hospital and 67 % stayed from 2 to 5 days. The total of cases admitted presenting complications were 397; it was not possible to evaluate 232 cases (23 %), severe anemia was the most frequent complications "200 children (20 %), electrolyte disorders in 79 cases (10 %) and hypoglycemia" 70 cases (7 %). Sixteen children died with severe anemia 10 (62.5 %). Those patients staying in the hospital less than a day (7 died), from 2 ? 5 days (7
%K MALARIA SEVERA
%K complicaciones
%K mortalidad
%K SEVERE MALARIA
%K mortality
%K complications
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942005000300009