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Outcome of hospitalized children with visceral leishmaniasis in Basrah, southern Iraq
المؤلفون المشاركون
Gani, Zaynab H.
Hasan, Miad Kazim
Jasim, Abd al-Muhsin H.
المصدر
The Medical Journal of Basrah University
العدد
المجلد 26، العدد 2 (31 ديسمبر/كانون الأول 2008)، ص ص. 121-126، 6ص.
الناشر
تاريخ النشر
2008-12-31
دولة النشر
العراق
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Objectives : A prospective study was carried out to study the outcome of patients with visceral leishmaniasis and to determine factors associated with poor outcome.
Methods : The study included 132 in-patient children who were admitted to Basrah Maternity and Children Hospital and Basrah General Hospital during one year (from the first of November 2004 till the end of October 2005), with visceral leishmaniasis confirmed by bone marrow examination and direct agglutination test.
Nutritional assessment was done for each patient.
All patients with confirmed visceral leishmaniasis were sent for complete blood count.
The final diagnosis and the outcome of the patients with visceral leishmaniasis were recorded also.
Results : Among 132 sero-positive cases, 78 (59.0%) cases were males, and 54(40.9%) were females.
The age of patients ranged between 2 months to 12 years.
Sixty five (49.2%) of the cases were improved, 31.8% were discharged on the family responsibility, and 15 cases died.
The commonest cause of death was bleeding in 6 cases (40%), followed by hepatic failure in 4 (26.6%), other causes of death were bronchopneumonia, renal and heart failure.
Nutritional status and duration of illness were significant determinants of the outcome of visceral leishmaniasis patients.
A significantly higher number of malnourished patients didn’t improve compared to well nourished patients, and a significantly higher percent of patients who presented late have died compared to those who presented earlier especially in the first 2 weeks of illness, P<0.05.
By using multivariate regression analysis, six variables ; low hemoglobin value, low platelet count, male sex, young age, high Direct Agglutination Test titer and malnutrition were found to be significant predictors of death and relapse.
Conclusion : Male sex, anemia, thrombocytopenia, high DAT titer and malnutrition are poor prognostic factors in addition late presentation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Gani, Zaynab H.& Hasan, Miad Kazim& Jasim, Abd al-Muhsin H.. 2008. Outcome of hospitalized children with visceral leishmaniasis in Basrah, southern Iraq. The Medical Journal of Basrah University،Vol. 26, no. 2, pp.121-126.
https://search.emarefa.net/detail/BIM-114240
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Gani, Zaynab H.…[et al.]. Outcome of hospitalized children with visceral leishmaniasis in Basrah, southern Iraq. The Medical Journal of Basrah University Vol. 26, no. 2 (2008), pp.121-126.
https://search.emarefa.net/detail/BIM-114240
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Gani, Zaynab H.& Hasan, Miad Kazim& Jasim, Abd al-Muhsin H.. Outcome of hospitalized children with visceral leishmaniasis in Basrah, southern Iraq. The Medical Journal of Basrah University. 2008. Vol. 26, no. 2, pp.121-126.
https://search.emarefa.net/detail/BIM-114240
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 126
رقم السجل
BIM-114240
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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