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Post-injury malaria: a risk factor for wound infection and protracted recovery

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Summary Objective 

To assess the impact of post-injury falciparum malaria on morbidity parameters in Cambodia. Method 

Retrospective study of 227 trauma patients managed at a surgical centre in Battambang, Cambodia. Results 

Within 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). Conclusion 

Symptomatic 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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Keywords: Cambodia; malaria; postoperative; trauma; wound infection

Document Type: Research Article

Publication date: February 1, 2004

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