IJCCR 2013, Vol.3, No.3, 17
-
25
24
clinical and parasitological symptoms during the first
3
days of follow-up).
ii) Late clinical failure (if symptoms develop during
the follow-up period from day 4 to day 28 without
meeting the criteria for early treatment failure).
iii) Late parasitological failure (if only parasitemia
reappear without any symptoms, in the period from
day 7 to day 28).
iv) Adequate clinical and parasitological response
(
absence of symptoms and parasitaemia on day 28
(
World Health Organization, 2003; Mohapatra, 2009)).
Fever resolution time, parasitic clearance time, and
recovery of individual organ dysfunction were
determined in all cases of severe malaria. Complete
resolution of organ dysfunction was defined when the
patients have zero MSS (Mohapatra and Das, 2009).
Patients of uncomplicated vivax malaria were treated
with oral chloroquine 25 mg base/kg bw given over 3
days+primaquin as described above for radical cure.
Patients were examined and assessed twice daily until
full recovery. All patients were followed up for 28
days either at the out door or by correspondence.
Analyses were performed with the use of SPSS
software, version 10. Continuous data are presented as
mean±SD if data were normally distributed. Unpaired
data from two groups were compared by two sample t
test. Distribution of categorical variables were
compared with X
2
test and presented as absolute
counts and percentage. A two-tailed probability value
of <0.05 was considered statistically significant. CI
was calculated at the 95% level. Univariate analysis
was done for risk analysis.
References
Andrade B.B., Reis-Filho A., Souza-Neto S.M., Clarêncio J., Camargo
L.M.A., Barral A., and Barral-Netto M., 2010, Severe Plasmodium
vivax malaria exihibits marked inflammatory imbalance, Malaria
Journal, 9: 13
PMid: 20070895 PMCid: 2837053
Anstey N.M., Russel B., Yeo T.W., and Price R.N., 2009, The
pathophysiology of vivax malaria, Trends Parasitol., 25(5): 220-227
PMid: 19349210
Genton B., D'Acremont V., Rare L., Baea K., Reeder J.C., Alpers M.P., and
Müller I., 2008, Plasmodium vivax and mixed infctions are associated
with severe malaria in children: A prospective cohort study from Papua
New Guinea, PLoS Med., 5(6): e127
PMid: 18563961 PMCid: 2429951
Gilles H.M., and Warrell D.A., eds., 1996, Bruce-Chwatt's essential
malariology, Edward Arnold, London, pp.13-36
Kochar D.K., Das A., Kochar S.K., Saxena V., Sirohi P., Garg S., Kochar A.,
Khatri M.P., and Gupta V., 2009, Severe
P. vivax
malaria: A report on
serial cases from Bikaner in Northwestern India, J. Trop. Med. Hyg.,
80(2): 194-198
Limaye C.S., Londhey V.A., and Nabar S.T., 2012, The study of
complications of vivax malaria in comparison with falciparum malaria
in Mumbai, J. Asso. Phys. Ind., 60: 15-18
Mohapatra M.K., and Das S.P., 2009, The malaria severity score: A method
for severity assessment and risk prediction of hospital mortality for
falciparum malaria in adults, J. Asso. Phys. Ind., 57: 119-126
Mohapatra M.K., Dash L.K., Bariha P.K., and Karua P.C., 2012, Profile of
mixed species (
Plasmodium vivax
and falciparum) malaria in adults, J.
Asso. Phys. Ind., 60: 20-24
Mohapatra M.K., ed., 2009, Current status of drug-resistance malaria in
India, Agarwal AK, pp.9-20
Mohapatra M.K., Padhiary K.N., Mishra D.P., and Sethy G., 2002, Atypical
manifestations of
Plasmodium vivax
malaria, Ind. J. Malario., 39(1-2):
18-25
PMid:14686106
Mohaptra M.K., 2006, The natural history of complicated falciparum
malaria-a prospective study, J. Asso. Phys. Ind., 54: 848-853
Nadkar M.Y., Huchche A.M., Singh R., and Pazare A.R., 2012, Clinical
profile of severe
Plasmodium vivax
malaria in a tertiary care centre in
Mumbai from June 2010-January 2011, J. Asso. Phys. Ind., 60: 11-13
Rogerson S.J., and Carter R., 2008, Severe vivax malaria: Newly recognised
or rediscovered? PLoS Med., 5(6): e136
PMid: 18563965 PMCid: 2429947
Tjitra E., Anstey N.M., Sugiarto P., Warikar N., Kenangalem E., Karyana M.,
Lampah D.A., and Price R.N., 2008, Multidrug resistant
Plasmodium
vivax
associated with severe and fatal malaria. A prospective study in
Papua, Indonesia, PLoS Med., 5(6): e128
PMid: 18563962 PMCid: 2429950
Warrell D.A., 1993, Clinical features of malaria, In: Gilles H.M., and
Warrell D.A., (eds.), Bruce-Chwatt's essential malariology, 3rd Ed,
Edward Arnold, London, pp.35-48
World Health Organization, 2000, Implementation of collaborative activities
on Roll Back Malaria in the South-East Asia region, SEAMAL, 215:
24