Analiza wybranych elementow badania przedmiotowego i podmiotowego u chorych na zimnice w Papua Nowa Gwinea

• Autorzy: Rehlis N , Kurczewska M.
• Języki publikacji: PL

Abstrakty

EN

To assess the validity of different clinical criteria in malaria patients, a small study including 92 children presented with fever or history of fever were examined in a highly endemic area of Papua New Gwinea. In 21 children parasitaemia was confirmed by microscopy examination of thick and thin smear stained with Giemsa method (9 cases of Plasmodium falciparum, 8 cases of Plasmodium vivax and 4 cases of mixed invasion Plasmodium falciparum and Plasmodium vivax). Only 4 from different 39 criteria analyzed in children with bistory of fever or hot skin showed significant association with parasitaemia (conscious disturbances, severe wasting enlarged spleen and diarrhoea), however none of the criteria presented high sensitivity and could serve as good predictors for parasitaemia accept two (first and second one). These findings help to realize the importance of laboratory examination in diagnosis of malaria and explain difficulties in confirming or exclusion of malaria where microscopy is not available.

Słowa kluczowe

PL

choroby czlowieka; badania medyczne; pacjenci; parazytologia; Papua Nowa Gwinea; malaria

• Wydawca: -
• Czasopismo: Wiadomości Parazytologiczne
• Rocznik: 2001
• Tom: 47
• Numer: 3
• Opis fizyczny: s.371-376,tab.,bibliogr.

Twórcy

autor

Rehlis N

• Akademia Medyczna, ul.Przybyszewskiego 49, 60-355 Poznan

autor

Kurczewska M.

Bibliografia

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• PERKINS S. A., ZUCKER J. R., OTIENO H. S., AFARI H., PAXTON S. C. 1997. Evaluation of an algorithm for integrated management of childhood illness in an area of Kenya with high malaria transmission. Bulletin of World Health Organisation. Suppl. 1: 33-42.
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• ROUGEMONT A., BRESLOW N., BRENNER., MORET A. 1991. Epidemiological basis for clinical diagnosis of childhood malaria in endemic zone in West Africa. Lancet 338: 1292-1295.