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Study Of Clinical Profile Of Malaria At KMC Hospital, Attavar,India

机译：印度阿塔瓦尔KMC医院疟疾临床资料研究

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Introduction India being a vast country with different geographical regions, the pattern of diseases may vary from place to place. The present study was undertaken to study the clinical features, complications, and response to treatment in a tertiary care hospital.Methodology A prospective analysis of adult patients suffering from malaria was carried out at KMC hospital, Attavar during the year 2002-2003. Diagnosis of the patients was based on clinical features and by peripheral smear. The mode of presentation, clinical course, laboratory investigations, antimalarials administered, and complications were recorded. The response to treatment was noted both clinically and by repeating peripheral blood smear examinations.Results Out of the 54 patients, 39 were males and 15 females. The age group of the patients ranged from 17 to 65 years. Fever was present in all the patients. 51.55 % of patients complained of headache and 31.55 % had vomiting. Jaundice was observed in 11 patients. Cough was also a complaint in four patients. Symptoms of gastritis were observed in two patients and two other patients had diarrhoea. Anaemia was present in 20 patients. Out of the 54 patients, 31.48% had infection with P.falciparum, 33.33% with P.vivax, and 29.62% had mixed infection. Chloroquine resistance was observed in nine patients. Complications were seen in 10 patients. Conclusion Injudicious use and inadequate dosage of the available drugs need to be curbed. To achieve the global aim of malaria control, we must carry out an epidemiological survey to monitor the progression of resistance while planning an effective antimalarial strategy.
机译：简介印度是一个幅员辽阔，地理区域不同的国家，疾病的模式可能因地而异。本研究旨在研究三级医院的临床特征，并发症和对治疗的反应。方法对2002-2003年间在Attavar的KMC医院对患有疟疾的成年患者进行了前瞻性分析。根据临床特征和外周涂片对患者进行诊断。记录就诊方式，临床过程，实验室检查，抗疟疾药物和并发症。在临床和重复进行外周血涂片检查中均注意到对治疗的反应。结果54例患者中，男性39例，女性15例。患者的年龄段为17至65岁。所有患者均发烧。 51.55％的患者抱怨头痛，31.55％的人呕吐。在11名患者中观察到黄疸。咳嗽也是四名患者的主诉。在两名患者和另外两名腹泻患者中观察到胃炎的症状。 20例患者出现贫血。 54例患者中，恶性疟原虫感染占31.48％，间日疟原虫感染占33.33％，混合感染占29.62％。 9例患者观察到氯喹耐药。 10例患者出现并发症。结论需要遏制误用和可用药物剂量不足的问题。为了实现控制疟疾的全球目标，我们必须进行流行病学调查以监测耐药性的进展，同时制定有效的抗疟策略。

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