Situation of Malaria in Smutsakhon Hospital

บทคัดย่อ

For 200 cases study in Smutsakhon hospital there were Malaria falciparum 137 cases (68.5%), most of them were foreigner 99 cases(49.5%) [Mon 91 cases(45.5%), Myanmar 4 cases (2%), Kareang 4 cases(2%)]. There were only 38 cases(19%) Thai. As for the Malaria vivax of 50 cases(25%) mostly were foreigner 32 cases(16%) [Mon 28 cases(14%), Myanmar 2 cases(1%), Kareang 1 case(0.5%), Indian 1 case(0.5%)], Thai 18 cases(9%). Mixed infection : P. falc. + P.v. 9 cases(4.5%), the foreigner 6 cases (3%) [Mon 5 cases(2.5%), Kareang 1 case(0.5%)], Thai 3 cases (1.5%) and cerebral malaria 4 cases(2%), Mon 3 cases(1.5%) ,Thai 1 case(0.5%). Most of them, age incidence were 16-30 yrs old, working age, which travelled from Thai-Myanma border as the labour. Male : Female = 5 : 1 and the infection occurred in the month during May to August or Rainy season.

Drug used for treatment for P.faIc. : Quinine 55 cases, Quinine+ Tetracycline 66 cases, Ouinine+Primaquine 7 cases, Ouinine+TetracycIine+ Primaquine 5 cases, Ouinine+Chloroquine + Tetracycline 4 cases, while for P.v. : Chloroquine 1 case, ChIoroquine+Primaquine 38 cases,Quinine + Primaquine 8 cases, Quinine + Tetracycline 1 cases. These treatment showed that Quinine + Tetracycline was more effective for P.falc. than the others while Chloroquine + Primaquine was the better for P.v..