Evolution of the Treatment of Malaria in Acute Malnourished Patients at Ureni in Mali: From Systematic to Ethiological Treatment.

Abstract

Both malaria and malnutrition have been implicated in impairing children's cognitive abilities, making it difficult for them to learn, and decreasing their school performance. Two previous versions of the national protocol for the management of acute malnutrition provide different guidelines. Our study aims to assess the extent of the association of malaria with acute malnutrition and the most appropriate version of the protocol. It is a retrospective study based on the records of children 6-59 months hospitalized at the URENI of the CSRéf of Kayes in 2019. The results show that on the basis of positive RDT, 0.9% of those admitted had malaria on acute malnutrition. The acute malnutrition patient is defined as a child from 24 to 59 months, referred to the URENI, treated with injectable Artesun, generally lasting 5 days in the program with a successful treatment rate of 75%. They have little diarrhea compared to other non-malarial patients. The 2017 version of the national protocol for the management of acute malnutrition is the most appropriate. Further studies are needed to support our findings.