ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ NGƯỜI BỆNH SỐT RÉT TẠI BỆNH VIỆN DÃ CHIẾN CẤP 2 SỐ 4 VIỆT NAM Ở BENTIU, NAM SUDAN

Abstract

Objectives: Describle some clinical and paraclinical characteristics and treatmeant results in malaria patients at Vietnam Level 2 field hospital in Bentiu, South Sudan.

Methods: Research on epidemiological investigation of cases, assessment of clinical and paraclinical characteristics of malaria from 34 patients diagnosed with malaria treated at level 2 field hospital rotation 4 Vietnam from April 2022 to July 2023.

Results: The majority of patients are men (94.12%), the age group 20-39 years old accounts for the highest proportion (61.76%). People who have worked in the area for less than 1 year and South Sudanese people have the highest incidence rates, 85.3% and 41.18%, respectively. The malaria epidemic season takes place from April to October of the year, the epidemic peaks at the end of the rainy season with 22 patients (64.71%). All patients had fever, 55.88% had moderate fever, the average number of fever days was 2.59 days. Accompanied by cold spikes 88.24%. Chills often appear in the first 3 days and are highest on the 3rd waking day, accounting for 88.24%. Sweating 61.76%. Typical malaria occurred in 15 patients (44.12%). Common symptoms include headache, neck pain, sore throat, accounting for 94.12%, 91.18% and 67.65%. GOT and GPT increased slightly. The rate of hemoglobinuria and malaria is low, 2.94%. Rapid test to detect malaria parasites: 34 patients (100%) were positive and smear examination had 26 patients (76.47%) diagnosed positive for malaria parasites. Treatment results: 34 patients are stable.

Conclusion: Diagnosis of malaria at Hospital 2.4 is based on history, epidemiology, clinical rapid test and malaria parasite microscopy. Malaria mainly appears at the end of the rainy season with diverse clinical and paraclinical characteristics: with malaria, shivering usually occurs in the first 3 days, sweating, headache and sore throat. Typical fever is nearly half. The rate of malaria and hematuria is low.