From: Mortality attributable to Plasmodium vivaxmalaria: a clinical audit from Papua, Indonesia
Category | Category description | Clinical criteria |
---|---|---|
1 | Pure vivax malaria the primary cause of death | Potential mechanisms include: coma, extreme anaemia (haemoglobin <3Â g/dL), respiratory distress not associated with evidence of sepsisa, acidosis if associated with severe anaemia or splenic rupture |
2 | Pure vivax malaria likely to have been a major contributor to death | Alternative cause(s) more likely to have led to death but vivax malaria a major contributor through one of the following mechanisms: haemoglobin <7Â g/dL, respiratory distress not associated with evidence of bacterial sepsisa, acidosis if associated with haemoglobin <7Â g/dL, splenic rupture, decreased consciousness or malnutritionb with two or more documented episodes of vivax malaria in the last year |
3 | Pure vivax malaria likely to have been a minor contributor to death | Alternative cause(s) more likely to have led to death but vivax malaria a minor contributor through one of the following mechanisms: fever, tachycardia or anaemia (haemoglobin between 7Â g/dL and the lower limit of normal) |
4 | Pure vivax malaria unlikely to have contributed to death | No clear direct pathophysiological mechanism by which vivax malaria could have exacerbated or contributed to the primary cause(s) of death |