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Trop. Med. Int. Health · Feb 2004
Post-injury malaria: a risk factor for wound infection and protracted recovery.
- Mads Sundet, Tove Heger, and Hans Husum.
- Tromsoe Mine Victim Resource Center, University Hospital of Northern Norway, Tromsoe, Norway. tmc@unn.no
- Trop. Med. Int. Health. 2004 Feb 1;9(2):238-42.
ObjectiveTo assess the impact of post-injury falciparum malaria on morbidity parameters in Cambodia.MethodRetrospective study of 227 trauma patients managed at a surgical centre in Battambang, Cambodia.ResultsWithin 10 days of the injury, 42.7% of the study population developed symptomatic malaria. In patients with post-injury malaria, the rate of wound infection was 36.1% compared with 10.0% in patients without symptomatic malaria (95% confidence interval for difference 15.2-36.9%). The average hospital stay in the post-injury malaria group was 31.2 days compared with 19.4 days in the patients without the complication (95% confidence interval for difference 7.2-16.4 days).ConclusionSymptomatic malaria after trauma is common in Cambodia. Post-injury malaria seems to increase the risk of wound infection, delays postoperative recovery, and thus adds to the burden of trauma.
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