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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Differences in presentation of severe malaria in urban and rural Gabon
American Journal of Tropical Medicine and Hygiene, Volume 77, No. 6, Year 2007
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Description
There are rare comparative studies of the clinical and laboratory features of severe and moderate malaria, including predictors of poor outcome, in rural and urban areas for regions of high malaria transmission. We therefore studied 2,235 children hospitalized for malaria in a rural (Lambaréné) and an urban (Libreville) area in Gabon between January 2001 and December 2002. From children screened, 33% and 48% were hospitalized for malaria in Libreville and Lambaréné, respectively (P < 0.001). Two malaria clinical groups were identified according to the World Health Organization 2000 classification of severe malaria. In both areas, severe malaria was characterized by a high proportion of severe anemia. The case fatality rate was 5-fold lower in Lambaréné than in Libreville (1% versus 5%; P < 0.0001). In both sites, cerebral malaria associated with respiratory distress was the most important predictor of fatal malaria (odds ratio = 10.7, 95% confidence interval = 4.8-23.8 P < 0.0001). Copyright © 2007 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Issifou, Saadou
Gabon, Lambarene
Unité de Recherche Médicale, Albert Schweitzer Hospital
Germany, Tubingen
Eberhard Karls Universität Tübingen
Kendjo, Éric
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Missinou, Michel Anoumou
Gabon, Lambarene
Unité de Recherche Médicale, Albert Schweitzer Hospital
Germany, Tubingen
Eberhard Karls Universität Tübingen
Matsiégui, Pierre Blaise
Gabon, Lambarene
Unité de Recherche Médicale, Albert Schweitzer Hospital
Germany, Tubingen
Eberhard Karls Universität Tübingen
Dzeing-Ella, Arnaud
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Dissanami, Frédéric A.
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Kombila, Maryvonne Y.
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Krishna, Prof Sanjeev
Gabon, Lambarene
Unité de Recherche Médicale, Albert Schweitzer Hospital
United Kingdom, London
St George’s, University of London
Kremsner, Peter G.
Gabon, Lambarene
Unité de Recherche Médicale, Albert Schweitzer Hospital
Germany, Tubingen
Eberhard Karls Universität Tübingen
Statistics
Citations: 43
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.4269/ajtmh.2007.77.1015
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Case-Control Study
Study Locations
Gabon