title: [Determinants of cerebral malaria in Congolese children].
abstract: Malaria still constitutes a worrying problem of public health. It remains an important cause of infant mortality. To determine the determinants of severe malaria a case control study was carried out from July to December 2011 in the pediatric intensive care department of the university hospital of Brazzaville. The group included 230 children hospitalised for severe malaria, and the control group consisted of children followed up for non-severe malaria. Cases and controls were compared using statistical tests for matched group. The young age of the mother (OR=4.13), her poor education level (OR=2.36), the low socioeconomic level of parents (OR=5.90), the malnutrition (OR=2.67), the delay of consultation (OR=13.69) and parasitemia were associated with significantly higher risk of severe malaria. The importance of identified determinants imposes the implementation of primary prevention measures, which pass through the amelioration of socioeconomic and cultural conditions of populations, the reinforcement of sanitary education, and also a secondary prevention consisting of an early and accurate management of ordinary malaria.
authors: Service de neurologie, université de Brazzaville, CHU de Brazzaville, 13, boulevard Maréchal-Lyautey, BP 32, Brazzaville, Congo. doc_ossou@yahoo.fr
authors: P M
authors: PM
authors: Ossou-Nguiet
authors: A R
authors: AR
authors: Okoko
authors: G
authors: G
authors: Ekouya Bowassa
authors: A P
authors: AP
authors: Oko
authors: J R
authors: JR
authors: Mabiala-Babela
authors: I C
authors: IC
authors: Ndjobo Mamadoud
authors: G
authors: G
authors: Moyen
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D003223:Congo / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D016779:Malaria, Cerebral / Q000453:epidemiology* / Q000209:etiology*; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers; D012307:Risk Factors; D012959:Socioeconomic Factors; D055815:Young Adult