Clinical Survey on Malaria a Study in Anantapuramu District Of Andhra Pradesh

Abstract

Malaria is a public health problem in several parts of the country. About 95% population in the country resides in Malaria endemic areas and 80% of malaria reported in the country is confined to areas consisting 20% of population residing in tribal, hilly, difficult and inaccessible areas. India contributes about 70% of malaria in South East region of W.H.O. Although annually India reports about 2 million cases and 1000 deaths attributable to malaria, there is increasing trend in the proportion of Plasmodium Falciparum as the agent. This study aimed to note the presentations and complications of Plasmodium Falciparum in Government General Hospital, ,Anantapuramu district of Andhra Pradesh. Methodology: The descriptive study was conducted at IPD (inpatient department) of Government General Hospital Anantapuramu. In this study simple random technique was used for selection of sample. All adult patients with positive malaria peripheral film admitted through the department was studied during 2014.Data was entered and analyzed. Results: A total of 97 patients were included in this study. Fever was the most common presentation. A significant number of patients had non- specific complaints but tachycardia, altered mental status and adult respiratory distress syndrome was important findings. Common reasons for admission were thrombocytopenia and dehydration. Some patients were admitted for more than 48 hours. Complications included Pneumonia and bleeding requiring platelet transfusion.