Resumen

MONTEIRO, Maria Rita de Cassia Costa; RIBEIRO, Mayani Costa  y  FERNANDES, Suellen Costa. Clinical and epidemiological aspects of malaria in a university hospital in the City of Belém, Pará State, Brazil. Rev Pan-Amaz Saude [online]. 2013, vol.4, n.2, pp.33-43. ISSN 2176-6215.  http://dx.doi.org/10.5123/S2176-62232013000200005.

OBJECTIVE: To investigate clinical, laboratory and epidemiological aspects of malaria inpatients in the Hospital Universitário João de Barros Barreto (Belém City, Pará State, Brazil), reference hospital for infectious diseases in Amazon region. METHODS: A retrospective cross-sectional study was carried out using information from medical records of patients admitted from January 1, 2000 to July 31, 2011. All records of 289 patients admitted with diagnostic hypothesis of malaria were considered and examined the corresponding records, being discarded unreadable and unavailable records. RESULTS: The casuistry resulted in 188 records after unconfirmed diagnoses had been discarded. Males (61.2%; 115/188) between 30 and 50 years of age (33%; 62/188) were predominant; there were more admissions in August (13.5%; 24/188) and October (12.4%; 22/188). Plasmodium vivax was predominant, 56.9% (107/188) of the cases, and 41.5% (78/188) cases of P. falciparum. The main clinical manifestations were fever (97.3%; 183/188), headache (58%; 109/188) and chills (54.8%; 103/188). The most frequent clinical manifestation related to severe malaria was jaundice (38.3%; 72/188). Concerning the laboratory profile, 86.2% (162/188) presented low hamatometry; 93.6% (176/188) low hematocrit; 73.9% (139/188) thrombocytopenia. CONCLUSION: In the studied population, malaria incidence was higher in August and October, in males, and in working age people. The main clinical and laboratory manifestations were those typical of the disease and jaundice was the main manifestation of severe malaria.

Palabras clave : Malaria, Vivax; Malaria; Falciparum; Inpatients.

        · resumen en Español | Portugués     · texto en Portugués     · Portugués ( pdf )