Bibliographic citations
Huancas, A., Huayta, M. (2022). Factores asociados a malaria severa en la provincia de Maynas entre 2014 y 2019: Análisis estratificado por especie de Plasmodium [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/659435
Huancas, A., Huayta, M. Factores asociados a malaria severa en la provincia de Maynas entre 2014 y 2019: Análisis estratificado por especie de Plasmodium [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2022. http://hdl.handle.net/10757/659435
@misc{renati/398917,
title = "Factores asociados a malaria severa en la provincia de Maynas entre 2014 y 2019: Análisis estratificado por especie de Plasmodium",
author = "Huayta Cortez, Miguel Angel",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2022"
}
Introduction: Malaria is a vector-borne disease caused by Plasmodium spp. The most important species and that cause more damage in Public Health are P. vivax and P. falciparum. Severe malaria refers to malaria episodes with altered physical and laboratory signs defined by the WHO. Although severe malaria has traditionally been associated with P. falciparum, it is also associated with P. vivax malaria. The prevalence of severe P. vivax malaria has not been well studied. Therefore, the objective of this study was to identify some epidemiological and clinical factors associated with severe malaria in patients with malaria caused by Plasmodium vivax and Plasmodium falciparum, in the population of the province of Maynas between the years 2014-2019. Methods: Cross-sectional and analytical observational study. All the medical records of patients with a confirmed diagnosis of P. vivax or P. falciparum malaria from the “Hospital Regional de Loreto” in the period 2014-2019 were reviewed. Severe malaria was determined by the 2015 WHO criteria and cases were stratified by species. Then, univariate, bivariate, and multivariate analyzes were performed; in which factors associated with severe malaria were the independent variables, and having severe malaria due to one or another species were the dependent variables. To perform the multivariate analysis, the generalized linear model of the Poisson family was used to obtain crude and adjusted prevalence ratios (PR). Results: We reviewed 590 medical charts of patients with malaria from the “Hospital Regional de Loreto”. Out of them, 456 charts had some criteria to evaluate severe malaria. Severe malaria was found in 55 (16.2%) patients with P. vivax malaria, and in 22 (19%) patients with P. falciparum malaria. In the multivariate analyzes, no association was found between severe malaria neither by P. vivax nor by P. falciparum, and age, sex, previous malaria episodes, occupation or leukocytes count. Conclusions: The prevalence of severe malaria due to P. vivax and P. falciparum was 16.2% and 19,0%, respectively. No association was found between severe malaria neither by P. vivax nor by P. falciparum, and age, sex, previous malaria episodes, occupation or leukocytes count.
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