[ CONTRIBUTION DU PALUDISME DANS LA GENESE DES ANEMIES SEVERES DES ENFANTS D’AGE PRESCOLAIRE EN MILIEU RURAL (RD CONGO) ]
Volume 25, Issue 4, March 2019, Pages 1268–1276
KABEMBA BUKASA Héman1, ALIMASI YUMA Gaston2, BUYAMBA PUTA Emerence3, KALAMBA MOREGA Esaïe4, KITENGE FAÏLLA Fanny5, and MUTAMBALA MUTONO Paulin6
1 Institut Supérieur des Techniques Médicales de Kalemie, Kalemie, RD Congo
2 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
3 Institut Supérieur des Techniques Médicales de Kalemie, Kalemie, RD Congo
4 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
5 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
6 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
Original language: French
Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: Malaria is the most common parasitic infection in the world. It is present in the endemic-epidemic state south of the Sahara and is responsible for high morbidity and mortality, following the complications observed in its evolution. This work aims to objectify the contribution of malaria in the genesis of severe anemia in children aged 0 to 59 months. Patients & Methods: This is a retrospective and descriptive cross-sectional study of pre-school children hospitalized at the Moba Reference General Hospital for severe anemia from 2013 to 2014, ie two years. Results: Of 2410 hospitalizations, 1044 children aged zero to 59 months (43.3%) were anemic. An average age of 24.2 months and a significant predominance in children under three years of age; the female sex slightly affected in a non-significant way; the etiological analysis showed significantly that malaria (80.5%) is the leading cause of severe anemia, followed by malnutrition (7.3%) and intoxication with indigenous products (5.8%). ). Tachycardia (97.3%), cutaneo-mucous pallor (97.1%), tachypnea (87.5%) and fever (84.0%) were more evoked among the clinical signs. In the majority of cases (95.0%), the evolution was good after transfusion (96.5%). Overall mortality was around 5.0%, mainly before transfusion. Conclusion: In endemic areas, malaria must be sought after in children with severe anemia. Preventive measures against malaria need to be strengthened. The use of blood transfusions must take into account the standards in force.
Author Keywords: Anemia, DRC, Children, Malaria.
Volume 25, Issue 4, March 2019, Pages 1268–1276
KABEMBA BUKASA Héman1, ALIMASI YUMA Gaston2, BUYAMBA PUTA Emerence3, KALAMBA MOREGA Esaïe4, KITENGE FAÏLLA Fanny5, and MUTAMBALA MUTONO Paulin6
1 Institut Supérieur des Techniques Médicales de Kalemie, Kalemie, RD Congo
2 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
3 Institut Supérieur des Techniques Médicales de Kalemie, Kalemie, RD Congo
4 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
5 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
6 Faculté de Médecine, Université de Kalemie, Kalemie, RD Congo
Original language: French
Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: Malaria is the most common parasitic infection in the world. It is present in the endemic-epidemic state south of the Sahara and is responsible for high morbidity and mortality, following the complications observed in its evolution. This work aims to objectify the contribution of malaria in the genesis of severe anemia in children aged 0 to 59 months. Patients & Methods: This is a retrospective and descriptive cross-sectional study of pre-school children hospitalized at the Moba Reference General Hospital for severe anemia from 2013 to 2014, ie two years. Results: Of 2410 hospitalizations, 1044 children aged zero to 59 months (43.3%) were anemic. An average age of 24.2 months and a significant predominance in children under three years of age; the female sex slightly affected in a non-significant way; the etiological analysis showed significantly that malaria (80.5%) is the leading cause of severe anemia, followed by malnutrition (7.3%) and intoxication with indigenous products (5.8%). ). Tachycardia (97.3%), cutaneo-mucous pallor (97.1%), tachypnea (87.5%) and fever (84.0%) were more evoked among the clinical signs. In the majority of cases (95.0%), the evolution was good after transfusion (96.5%). Overall mortality was around 5.0%, mainly before transfusion. Conclusion: In endemic areas, malaria must be sought after in children with severe anemia. Preventive measures against malaria need to be strengthened. The use of blood transfusions must take into account the standards in force.
Author Keywords: Anemia, DRC, Children, Malaria.
Abstract: (french)
Introduction: Le paludisme est l’infection parasitaire la plus fréquente dans le monde. Il est présent à l’état endémo-épidémique au sud du Sahara et est responsable d’une morbi-mortalité élevée, suite à ses complications évolutives. Ce travail a pour but d’objectiver la contribution du paludisme dans la genèse des anémies sévères chez les enfants âgés de zéro à cinquante-neuf mois (âge préscolaire). Patients & Méthodes: C’est une étude rétrospective et descriptive transversale portant sur les enfants d’âge préscolaire hospitalisé à l’Hôpital Général de Référence de Moba, pour anémie sévère de 2013 à 2014. Résultats: sur 2410 hospitalisations, 1044 enfants âgés de zéro à cinquante-neuf mois (43,3%) étaient anémiés. Une moyenne d’âge de 24,2 mois et une prédominance significative chez les moins de trois ans ; le sexe féminin légèrement affecté de manière non significative; l’analyse étiologique a objectivé de manière significative que le paludisme (80,5%) est la première cause d’anémie sévère, suivi de la malnutrition (7,3%) et de l’intoxication aux produits indigènes (5,8%). La tachycardie (97,3%), pâleur cutanéo-muqueuse (97,1%), tachypnée (87,5%) et fièvre (84,0%) ont été plus évoqués parmi les signes cliniques. Dans la majorité de cas (95,0%), l’évolution a été bonne après transfusion (96,5%). La mortalité globale a été de l’ordre de 5,0%, majoritairement avant la pratique transfusionnelle. Conclusion: En zone d’endémie, le paludisme doit être impérativement recherché chez les enfants avec anémie sévère. Les mesures préventives contre le paludisme doivent être renforcées. Le recours à des transfusions sanguines doit tenir compte des normes en vigueur.
Author Keywords: Anémie, RDC, Enfant, Paludisme.
How to Cite this Article
KABEMBA BUKASA Héman, ALIMASI YUMA Gaston, BUYAMBA PUTA Emerence, KALAMBA MOREGA Esaïe, KITENGE FAÏLLA Fanny, and MUTAMBALA MUTONO Paulin, “CONTRIBUTION OF MALARIA IN THE GENESIS OF SEVERAL ANEMIA’S IN RURAL PRESCHOOL CHILDREN’S AGE (DR CONGO): A DESCRIPTIVE CROSS-SECTIONAL STUDY,” International Journal of Innovation and Applied Studies, vol. 25, no. 4, pp. 1268–1276, March 2019.
