Abstract
Despite prevention efforts, malaria remains a public health problem. This was a prospective study conducted between October and December 2010 that aimed to describe the therapeutic route of adults presenting with severe malaria prior to being admitted to Fann Teaching Hospital in Dakar, Senegal. A total of 90 patients were included. The majority of them had consulted a public or private health care facility (92%) prior to admission. First consultation occurred on average two days after the onset of the disease. Self-medication (67.4%) and traditional medicine (26.1%) were the main causes of delaying care. Early care and adequate management are needed to reduce malaria mortality.
Highlights
Despite prevention efforts, malaria remains a public health problem
In Senegal, malaria control strategies have been strengthened by the extension in 2007 of rapid diagnostic tests (RDTs) for malaria and the use of combination therapy with artemisinin (CTA)
The purpose of this study was to trace the therapeutic route of severe malaria cases before their admission to the infectious diseases clinic in Fann Teaching Hospital, in order to make recommendations for better management of malaria
Summary
Malaria remains a public health problem. Methodology: This was a prospective study conducted between October and December 2010 that aimed to describe the therapeutic route of adults presenting with severe malaria prior to being admitted to Fann Teaching Hospital in Dakar, Senegal. In some areas a “pre-elimination” of malaria has been achieved Despite these significant advances, malaria still causes high mortality and remains the most common reason for emergency admission in Fann Teaching Hospital, Dakar, Senegal. Delays in diagnosis and default of care were the main factors that contributed to the development of severe malaria [1,2,3]. This may have changed with prevention efforts. The purpose of this study was to trace the therapeutic route of severe malaria cases before their admission to the infectious diseases clinic in Fann Teaching Hospital, in order to make recommendations for better management of malaria
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