[Place of Malaria in Febrile Illnesses Etiologies In The Community Health Center of Macina central, Mali].
Malaria is a major public health problem because of its morbidity and mortality. The objective is to study the place of malaria in the etiology of febrile access in Community Health Centre of Macina central. This is a descriptive prospective study was conducted which covered a period of 12 months from 1 September 2015 to 31 August 2016 at the community health center of Macina central. It concerned all patients admitted to the community health center for febrile with an axillary temperature greater than or equal to 38° C and having agreed to participate in the study. Data collected were analyzed using epi info 7 software version 3.3.2. Febrile accesses represented 13.37% of all consultations during our study period. The majority of patients were men (55.0%). Malaria was the leading cause (64.2%) of febrile accesses followed by respiratory infections (16.2%). In the majority of patients, fever has not exceeded 7 days (89.9%) and the axial temperature was between 38° and 38.9° in 67.6% of cases. Children under five years were most affected by these febrile illnesses (61.3%) and of these, 37.9% had malaria. The most associated symptoms with fever were cough (58.5%), vomiting (48.7%) and headache (47.1%). Co-morbidities were found between malaria and respiratory infections (20.60%) and diarrhea (26.20%). Malaria remains a major cause of fever in our study area. However, it is necessary to follow the clinical procedure well in case of fever.