Malaria Research and Treatment
Volume 2014, 2014

Imported malaria in portugal 2000-2009: A role for hospital statistics for better estimates and surveillance (Article) (Open Access)

Fonseca A.G.* , Dias S.S. , Baptista J.L. , Torgal J.
  • a Public Health Department, Nova Medical School, Nova Lisbon University, Campo Mártires da Pátria 130, Lisbon, 1169-056, Portugal
  • b Public Health Department, Nova Medical School, Nova Lisbon University, Campo Mártires da Pátria 130, Lisbon, 1169-056, Portugal, UIS-ESSLei-IPLeiria, Campus 2, Morro do Lena, Apartado 4137, Leiria, 2411-901, Portugal
  • c Faculty of Health Sciences, Beira Interior University, Avenue Infante D. Henrique, Covilhã, 6200-506, Portugal
  • d Public Health Department, Nova Medical School, Nova Lisbon University, Campo Mártires da Pátria 130, Lisbon, 1169-056, Portugal

Abstract

Results. There were 2003 malaria hospitalizations and 480 notified hospitalized cases, mainly in young male adults. P. falciparum was the main agent of infection acquired mainly in sub-Saharan Africa. Lethality was 1.95% and mean LOS was 8.09 days. Older age entailed longer LOS and increased lethality.Discussion. From 2000 to 2009, there were 2003 malaria hospitalizations with decreasing annual incidence, these numbers being remarkably higher than those notified. The national database of diagnosis related groups, reflecting hospitalizations on NHS hospitals, may be an unexplored complementary source for better estimates on imported malaria.Background. Although eradicated in Portugal, malaria keeps taking its toll on travelers and migrants from endemic countries. Disease notification is mandatory but is compromised by underreporting.Methods. A retrospective study on malaria hospitalizations for 10 consecutive years (2000-2009) was conducted. Data on hospitalizations and notifications were obtained from Central Administration of Health System and Health Protection Agency, respectively. For data selection ICD-9 CM and ICD-10 were used: codes 084 · , 647.4, and B50-B54. Variables were gender, age, agent and origin of infection, length of stay (LOS), lethality, and comorbidities. Analysis included description, hypothesis testing, and regression. © 2014 Ana Glória Fonseca et al.

Author Keywords

[No Keywords available]

Index Keywords

Plasmodium ovale ICD-9-CM Plasmodium ovale malaria respiratory failure hospital statistics lethality hospitalization Human immunodeficiency virus infection Portugal human sex difference comorbidity statistics controlled study Malaria chronic obstructive lung disease anemia male female univariate analysis Multivariate Analysis pregnancy Article Plasmodium vivax major clinical study gender adult kidney failure age pneumonia malaria falciparum Plasmodium vivax malaria Plasmodium falciparum retrospective study ICD-10 mortality health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019743191&doi=10.1155%2f2014%2f373029&partnerID=40&md5=44a293dc6633b0393c3ac28c8cfeb417

DOI: 10.1155/2014/373029
ISSN: 20908075
Cited by: 3
Original Language: English