Place du paludisme en saison de haute transmission dans les urgences fébriles au Centre Hospitalier Universitaire Gabriel Touré de Bamako

Place of malaria in high transmission season among emergency fever cases at the University Hospital Gabriel Touré of Bamako

Abstract

The objective of the study was to assess the incidence of malaria among patients admitted with fever to the
Emergency Department of the CHU -Gabriel Touré of Bamako. A cross-sectional study has been performed
from August first to November 30, 2015, corresponding to the period of high malaria transmission in
Mali. All consenting patients admitted to the emergency department were included in this research. Thick
blood smear or rapid Diagnostic Test (rDT) were used for biological confirmation of suspected malaria
cases. The average age of patients admitted for fever was 21 years with a predominance of the age group
of 18-40 years. The sex ratio was 1.5 for men. Students represented 34.85% of cases followed by housewives
with 20.71%. Clinical diagnosis of malaria rate from doctors was 74.5% compared to 58.8% from the
biological test. The prevalence of malaria as a cause of fever was 58.8%. All cases of simple malaria were
treated with ACTs while severe cases were treated with injectable forms of artesunate in 68.38%, artemether
17.65% and quinine 13.17%. Malaria is frequent among fever cases in emergencies at the CHU-GT
some dispositions should be made to strengthen systematic biological confirmation of all suspected cases
of malaria to avoid misdiagnosis.