From: Challenges in diagnosing paediatric malaria in Dar es Salaam, Tanzania
Characteristic | PCR pos only (%) | OR (95% CI) | p-value |
---|---|---|---|
Demographics; | |||
•Age > 12 months | 34/52 (65.4) | 0.18 (0.04 to 0.86) | 0.019* |
•Male | 29/41 (70.7) | 0.72 (0.25 to 2.02) | 0.527 |
•Very low weight for age | 7/11 (63.6) | 0.60 (0.15 to 2.33) | 0.474 |
•Mothers education less than secondary school | 48/64 (75.0) | 1.50 (0.34 to 6.70) | 0.688 |
•No mosquito net used | 4/5 (80.0) | 1.58 (0.17 to 15.19) | 1.000 |
•Travel outside Dar last 4 weeks | 21/30 (70.0) | 0.84 (0.28 to 2.50) | 0.754 |
•Home not in Dar | 5/8 (62.5) | 0.43 (0.09 to 2.10) | 0.365 |
•Sickle cell disease | 12/18 (66.7) | 0.64 (0.20 to 2.01) | 0.542 |
•Referral from other hospital | 14/19 (73.7) | 0.98 (0.30 to 3.22) | 1.000 |
Pretreatment: | |||
•No antibiotics the last 4 weeks | 13/21 (61.9) | 0.28 (0.09 to 0.94) | 0.055 |
•No antimalarials the last 4 weeks | 20/27 (74.1) | 0.98 (0.33 to 2.95) | 0.974 |
Symptoms: | |||
•Current illness ≤5 days | 29/47 (61.7) | 0.06 (0.01 to 0.50) | 0.001* |
•Convulsions before admission | 13/17 (76.5) | 1.21 (0.34 to 4.26) | 1.000 |
Clinical findings: | |||
•Reduced conciousness | 18/25 (72.0) | 0.90 (0.31 to 2.65) | 0.854 |
•Tachycardia, for age | 22/27 (81.5) | 2.12 (0.67 to 6.79) | 0.199 |
•Tachypnea, for age | 31/35 (88.6) | 5.39 (1.59 to 18.28) | 0.004* |
•Febrile (temp >37.5) | 40/56 (71.4) | 0.71 (0.20 to 2.50) | 0.764 |
•Palmar pallor | 40/57 (70.2) | 0.21 (0.026 to 1.79) | 0.163 |
•Jaundice | 13/15 (86.7) | 2.72 (0.56 to 13.30) | 0.328 |
•Splenomegaly | 9/12 (75.0) | 1.09 (0.27 to 4.49) | 1.000 |
•Hepatomegaly | 24/33 (72.7) | 0.91 (0.33 to 2.56) | 0.868 |
•Abdominal distention | 12/16 (75.0) | 1.09 (0.31 to 3.88) | 1.000 |
Laboratory findings: | |||
•Low Hb (<9.0 g/dl) | 43/61 (70.5) | 0.37 (0.08 to 1.80) | 0.328 |
•Platelets <100 x103per mm3 | 11/18 (61.1) | 0.49 (0.16 to 1.51) | 0.233 |
•Leucocytosis for age | 19/21 (90.5) | 4.62 (0.97 to 22.04) | 0.040* |
Treatment in hospital: | |||
•No antibiotic treatment in hospital | 3/6 (50.0) | 0.32 (0.06 to 1.74) | 0.183 |
•Anti-malarial treatment in hospital | 46/66 (69.7) | 0.055 | |
•Blood transfusion given | 18/29 (62.1) | 0.39 (0.14 to 1.10) | 0.071 |
Results: | |||
•Blood culture negative | 11/15 (73.3) | 0.79 (0.11 to 5.49) | 1.000 |
•routine malaria slide positive | 4/21 (19.0) | 0.01 (<0.01 to 0.07) | <0.001* |
•high parasitaemia (>10,000 parasites/ μl), routine slide | 1/15 (6.7) | 0.07 (0.01 to 0.95) | 0.053 |
•Received diagnosis malaria | 28/43 (65.1) | 0.33 (0.11 to 1.04) | 0.053 |
•Length of admission ≤5 days | 33/44 (75.0) | 1.17 (0.42 to 3.29) | 0.760 |
•Died in hospital | 12/15 (80.0) | 1.55 (0.39 to 6.16) | 0.746 |