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Management of febrile illness in rural Guinea over a seven-year period

A retrospective study

Dados Bibliográficos

ID19592467
AutoresKarifa Kourouma (0000-0001-6375-262X, autor correspondente), Fassou Mathias Grovogui (0000-0001-7356-9677), Alexandre Délamou (0000-0002-9397-7106, Gamal Abdel Nasser University of Conakry), Mahamoud Sama Chérif (0000-0002-4768-9234, Institut Supérieur Agronomique et Vétérinaire Valéry Giscard d'Estaing), Brecht Ingelbeen (0000-0002-2214-6858, Instituut voor Tropische Geneeskunde), Abdoul Habib Béavogui (0000-0003-4950-6224), Johan van Griensven (0000-0001-6581-2964, Instituut voor Tropische Geneeskunde), Emmanuel Bottieau (0000-0002-5868-7760, Instituut voor Tropische Geneeskunde)
EditoresJulia Robinson (0000-0003-0719-3995)
Ano2022
Volume2
Fascículo10
Páginase0001133
Data de publicação2022-10-12
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPLOS Global Public Health (JOURNAL)
Identificadores do periódicoISSN: 2767-3375 • E-ISSN: 2767-3375
EditoraPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001133
PMID36962689
OpenAlexW4304701141
IdiomaEN
Citações recebidas1
Referências citadas19

Introduction Febrile illnesses constitute a major clinical challenge in tropical settings. We aimed to assess the frequency, presentation and management of febrile illness at two health facilities in Forécariah, Guinea, with a focus on appropriateness of antibiotic prescription. Materials and methods This was a retrospective study conducted in patient files in a health center and a district hospital. Proportions of antibiotic prescription were determined by age group and syndromes as well as appropriateness of antibiotic prescription using the WHO model list (2019). Results From 2014 to 2020, 23,583 of 62,185 (38.0%) visits were related to febrile illness. Most patients with fever were female (56.1%) and evaluated at the health center (81.0%). Gastrointestinal (40.6%) and respiratory syndromes (36.8%), and undifferentiated fever (30.0%) were the most common presentations. Malaria was confirmed in 61.3% of the cohort. Overall, the rate of antibiotic prescription was high (14,834/23,583, 62.9%), mostly among patients aged Conclusions Febrile illness is a major cause of consultation in rural Guinea. Rate of antibiotic prescription was high, even in confirmed malaria and was often considered inappropriate. There is a pressing need to investigate the etiological spectrum and improve the diagnostic approach of febrile illness in Guinea

Antibiotics · Cohort · Malaria · Medical prescription · Penicillin · Respiratory system · Respiratory tract infections · Retrospective cohort study · Antibiotic Use and Resistance · Hematological disorders and diagnostics · Malaria Research and Control · Medicine · Immunology · Internal Medicine · Pediatrics

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    Open Access•Luciana Lepore, Jeanette Dawa et al.•Frontiers in Public Health•2026

  • A Novel Coronavirus from Patients with Pneumonia in China, 2019

    Na Zhu, 양승민 양승민 et al.•New England Journal of Medicine•2020

  • Guinea’s response to syndemic hotspots

    Open Access•Delphin Kolié, Remco van de Pas et al.•BMJ Global Health•2021

  • A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana

    Open Access•Mary-Anne Ahiabu, Mary‐Anne Ahiabu et al.•Health Policy and Planning•2016

Obras citantes distintas1
Citações por ano1
Intervalo de citações2026 - 2026 (1)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 1
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