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Table 2 Epidemiological and clinical analysis according to 5-years periods

From: Epidemiological and clinical assessment of a shared territorial malaria guideline in the 10 years of its implementation (Barcelona, North Metropolitan Area, Catalonia, Spain, 2007–2016)

 

Total (%)

Period I (2007–2011) (%)

Period II (2012–2016)a (%)

p

Number of cases

190 (100)

72 (37.9)

118 (62.1)

Incidence (/10,000 hab/year)

0.47

0.36

0.58

<0.001

Mean age (DE)

32.0 (13.8)

30.3 (12.5)

33 (14.5)

NS

Sex

 Men

121 (63.7)

50 (69.4)

71 (60.2)

NS

 Women

69 (36.3)

22 (30.6)

47 (39.8)

 

Species

 P. falciparum

122 (64.2)

55 (76.4)

67 (56.8)

 

 P. vivax

44 (23.2)

6 (8.3)

38 (32.2)

<0.001

 P. ovale

2 (1.1)

2 (2.8)

0 (0)

 

 P. malariae

3 (1.6)

2 (2.8)

1 (0.8)

 

 P. spp.

14 (7.4)

5 (6.9)

9 (7.6)

 

 Co-infectionsb

5 (2.6)

2 (2.8)

3 (2.5)

 

Positive immunocromatography (n = 126)

109 (86.5)

40 (88.9)

69 (85.2)

NS

Travel destination

 Sub-Saharan Africa

142 (74.7)

66 (91.7)

76 (64.4)

<0.001

 Indian sub-continent

46 (24.2)

6 (8.3)

40 (33.9)

<0.001

 America

2 (1.1)

0 (0)

2 (1.7)

 

Length of trip ≤ 30 days (n = 147)

39 (26.5)

19/54 (35.2)

20/93 (21.5)

0.07

Presence of risk factorsc

8 (4.2)

4 (5.6)

4 (3.4)

NS

Immigrant

164 (84.3)

63 (87.5)

101 (85.6)

NS

Travel reason

 Tourism

8 (4.2)

5 (6.9)

3 (2.5)

0.04

 VFR

171 (90)

66 (91.7)

105 (89)

 

 Business

11 (5.8)

1 (1.4)

10 (8.5)

 

Prior travel advice

26 (13.7)

6 (8.3)

20 (16.9)

NS

Chemoprophylaxis

19 (10)

4 (5.6)

15 (12.7)

NS

Severity

34 (17.9)

13 (18.1)

21 (17.8)

NS

Parasitaemia > 4%

19 (10)

7 (9.7)

12 (10.2)

NS

Treatment

 Quinine

71 (37.4)

37 (51,4)

34 (28.8)

0.001

 Artemether

4 (2.1)

0 (0)

4 (2.5)

 

 Atovaquone/Prog.

62 (32.6)

17 (23.6)

45 (38.1)

0.003

 Other

53 (27.9)

17 (23.6)

36 (30.5)

 

Sequelae at discharge

3 (1.6)

0(0)

3 (2.5)

NS

Favourable clinical evolution (to 30 days)

190 (100)

72 (100)

118 (100)

NS

Mortality

0 (0)

0 (0)

0 (0)

NS

  1. aArtemisinin-available period
  2. b P. falciparum-P. malariae: 1, P. falciparum-P. ovale: 4
  3. cImmunodeficiency: 5, pregnancy: 2, age < 1: 1