Author/Authors :
Zeidan, Z. University of Khartoum - Department of Community Medicine, Sudan , Kojal, H. Omdurman Islamic University - Department of Paediatrics, Sudan , Habour, A. University of Gezira - Department of Paediatrics, Sudan , Nowary, K. Gedaref Hospital - Department of Paediatrics, Sudan , Hashim, F. Sennar Hospital - Department of Paediatrics, Sudan , Awadelkarim, M. University of Khartoum - Department of Community Medicine, Sudan
Abstract :
We assessed the clinical and epidemiological features of severe malaria cases before ad- mission, 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 pae- diatric 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.
