title: Clinical and epidemiological features of severe malaria in children in four hospitals in Sudan.
abstract: We assessed the clinical and epidemiological features of severe malaria cases before admission, management in hospital and outcome and associated factors in 4 hospitals in different areas of Sudan over a 5-month period in 2000. There were 543 children admitted representing 21% of all paediatric admissions. Median age was 36 months. Treatment at home was the first action taken by 57.5% of families. Case fatality rate was 5/1000 and 93% of the children who died were under 9 years. Highest risk of death was associated with delay in seeking treatment and severity of illness before admission. Omdurman Hospital in Khartoum had the best case-management performance index compared to the other hospitals.
authors.affiliation: Department of Community Medicine, University of Khartoum, Khartoum, Sudan. drziedan61@hotmail.com
authors.forename: Z
authors.initials: Z
authors.lastname: Zeidan
authors.forename: H
authors.initials: H
authors.lastname: Kojal
authors.forename: A
authors.initials: A
authors.lastname: Habour
authors.forename: K
authors.initials: K
authors.lastname: Nowary
authors.forename: F
authors.initials: F
authors.lastname: Hashim
authors.forename: M
authors.initials: M
authors.lastname: Awadelkarim
mesh_terms: D017677:Age Distribution; D019090:Case Management / Q000592:standards; D002423:Cause of Death; D002648:Child; D002673:Child, Hospitalized / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019353:Endemic Diseases / Q000706:statistics & numerical data; D016021:Epidemiologic Studies; D005260:Female; D017052:Hospital Mortality; D006767:Hospitals, District; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D016779:Malaria, Cerebral / Q000453:epidemiology / Q000469:parasitology; D016778:Malaria, Falciparum / Q000150:complications / Q000453:epidemiology* / Q000628:therapy*; D008297:Male; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000193:education; D010343:Patient Admission / Q000706:statistics & numerical data*; D012307:Risk Factors; D012621:Seasons; D012720:Severity of Illness Index; D013397:Sudan / Q000453:epidemiology