SOCIAL AND CLINICAL FACTORS AFFECTING THE UREMIC CONDITION OF ANGOLAN PATIENTS WITH MALARIA

According to the National Malaria Control Program, from January to March of this year 2020, 2,065,673 cases and 2,548 deaths were recorded in Angola in 2019. To verify the uremic changes of patients with malaria according to their social and clinical conditions during a period of 5 days of hospitalization. The study was conducted as cross-sectional and quantitative approach. Of the 184 patients, men (68%), where aged between 21 and 30 years old (45%) and patients with altered uremia (68%), of these about 48% with increased uremia and 52% with hyper uremia, the general urea mean was 53.3 mg/dL and at the end of the study 49.5 mg/dL, in the patients of Belas (62.0 to 52.0 mg/dL) and Luanda (59.1 to 50.5 mg/dL), people who had a job showed the urea 57.7 mg/dL to 48.7 mg/dL. Patients with hyper uremia were with high parasitemia (60%), the highest mean of urea was observed among patients with high pasitemia (58.5 to ​​37.0 mg/dL), patients with medium parasitemia (49.3 to 79.0 mg/dL), patients treated with Artemether presented mean urea (less than 50.0 mg/dL) and Artesunate (77.8 to 70.4 mg/dL), the patients who were discharged (51.7 to 44.8 mg/dL), who remained hospitalized (51.5 to 49.1 mg/dL) and patients who died (73.6 to 74.1 mg/dL). The social factors may caused changes in the uremic condition, however, clinical factors such as degree of parasitemia and pharmacological treatment directly affect the uremic condition of patients with malaria and that uremic condition can be a predictor of mortality.