Quality of care for adult in-patients with malaria in a tertiary hospital in Uganda

Kiguba, Ronald; Karamagi, Charles; Bird, Sheila M.

doi:10.1186/s12936-021-03712-3

Malaria Journal

Table 2 Malaria detection by laboratory diagnosis among 762 hospitalized patients, Uganda ^±

From: Quality of care for adult in-patients with malaria in a tertiary hospital in Uganda

Malaria suspected at admission (n = 141) ^~																Malaria not suspected at admission (n = 621)
Malaria at discharge (n = 83)								No malaria at discharge (n = 58)								Malaria at discharge (n = 5)								No malaria at discharge (n = 616)
Microscopy requested, n (%) ^¥
Yes						No		Yes						No		Yes						No		Yes						No
Returned Positive		Returned Negative		Not Returned		Not Requested		Returned Positive		Returned Negative		Not Returned		Not Requested		Returned Positive		Returned Negative		Not Returned		Not Requested		Returned Positive		Returned Negative		Not Returned		Not Requested
21 (25)		13 (16)		31 (37)		18 (22)		0 (0)		16 (28)		27 (47)		15 (26)		1 (20)		0 (0)		1 (20)		3 (60)		3 (0)		30 (5)		58 (9)		525 (85)
In-hospital administration of anti-malarials, n (%)
Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No
20 (95)	1 (5)	11 (85)	2 (15)	26 (84)	5 (16)	15 (83)	3 (17)	0 (0)	0 (0)	5 (31)	11 (69)	3 (11)	24 (89)	3 (20)	12 (80)	1 (100)	0 (0)	0 (0)	0 (0)	1 (100)	0 (0)	1 (33)	2 (67)	0 (0)	3 (100)	1 (3)	29 (97)	4 (7)	54 (93)	9 (2)	516 (98)
Single admission diagnosis of malaria, n (%)
Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No
5 (24)	16 (76)	0 (0)	13 (100)	5 (16)	26 (84)	4 (22)	14 (78)	0 (0)	0 (0)	1 (6)	15 (94)	1 (4)	26 (96)	0 (0)	15 (100)	0 (0)	1 (100)	0 (0)	0 (0)	0 (0)	1 (100)	0 (0)	3 (100)	0 (0)	3 (100)	0 (0)	30 (100)	0 (0)	58 (100)	0 (0)	525 (100)
Received anti-malarials during the 4-weeks preadmission, n (%)
Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No
7 (33)	14 (67)	5 (38)	8 (62)	8 (26)	23 (74)	7 (39)	11 (61)	0 (0)	0 (0)	5 (31)	11 (69)	8 (30)	19 (70)	3 (20)	12 (80)	0 (0)	1 (100)	0 (0)	0 (0)	1 (100)	0 (0)	1 (33)	2 (67)	0 (0)	3 (100)	10 (33)	20 (67)	5 (9)	53 (91)	37 (7)	488 (93)
Single discharge diagnosis of malaria, n (%)
Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No	Yes	No
9 (43)	12 (57)	3 (23)	10 (77)	16 (52)	15 (48)	11 (61)	7 (39)	0 (0)	0 (0)	0 (0)	16 (100)	0 (0)	27 (100)	0 (100)	15 (0)	0 (0)	1 (100)	0 (0)	0 (0)	0 (0)	1 (100)	0 (0)	3 (100)	0 (0)	3 (100)	0 (0)	30 (100)	0 (0)	58 (100)	0 (0)	525 (100)

^±19% (146/762; 95% confidence interval (CI): 16–22%) of in-patients had either an admission or discharge malaria diagnosis or both; ^~19% (141/762; 95% CI: 16–21%) had an admission malaria diagnosis; ^¥Only three of the 201 in-patients with microscopy requests had concurrent malaria rapid diagnostic testing (mRDT) done. However, mRDT results were available for only one in-patient, who tested positive

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