دورية أكاديمية

Exchange Transfusion for Severe Malaria.

التفاصيل البيبلوغرافية
العنوان: Exchange Transfusion for Severe Malaria.
المؤلفون: Alfandari, S., Dixmier, G., Guery, B., Leroy, O., Georges, H., Beaucaire, G.
المصدر: Infection; Apr2001, Vol. 29 Issue 2, p96-97, 2p
مصطلحات موضوعية: BLOOD transfusion, MALARIA, PROTOZOAN diseases, DEATH rate, DRUG therapy, FEVER
مستخلص: Background: Exchange transfusion (El) is a controversial. ancillary treatment of severe falciparum malaria. Patients and Methods: We conducted a retrospective analysis of severe malaria treated in our institution. Nine cases of El were identified between 1991 and 1998 and compared to 12 controls with similar parasitemia. Results: Groups were similar at admission except for an increased age in the El group (p < 0.02). All, patients received iv quinine. Outcome was similar in both groups (two deaths in the El group, three in the control. group). However, in patients with parasitemia > 30%, the death rate was significantly lower in El patients than in controls (0/4 vs 3/3, p < 0.029). Conclusion: Despite definitive data from controlled trials, we suggest that El should be considered in severe malaria cases with very high parasitemia and severity criteria or worsening clinical, condition despite adequate chemotherapy. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:03008126
DOI:10.1007/s15010-001-1040-y