MW Johnson, N Ineson. Malaria : The Dilemmas Of Malarial Diagnostics
نویسندگان
چکیده
In clinical practice the diagnosis of malaria is usually relatively easy. In the acute situation a blood film is sent and if the result is positive the patient is started on appropriate therapy. The dilemma arises if after several days a patient still exhibits symptoms and signs of malaria yet numerous blood films for parasites have not provided a conclusive diagnosis. Is there a place for blind therapy? This article looks at the guidelines set out by the School of Hygiene and Tropical Medicine and demonstrates that the criteria for diagnosis, tracking improvement and discharge, although straightforward, are not always easy to implement. The difficulties with traditional diagnosis are examined with regard to a cohort of 21 patients admitted to Frimley Park Hospital over a three-month period. All patients had a diagnosis of pyrexia thought to be malaria, having recently returned from an area with endemic malaria. We will also consider the effectiveness and cost efficiency of alternative investigations for malaria.
منابع مشابه
Screening of Anti-Malarial Activity of Different Extracts Obtained from Three Species of Scrophularia Growing in Iran
Scrophularia genus belonging to the family of Scrophulariaceae, is a medicinal plant widely distributed in Iran. In the present study,the anti-malarial activity of different extracts of three Iranian endemic species of Scrophularia including S. frigida, S. subaphylla and S. atropatana, was screened by an in-vitro preliminary assay. The plant materials were extracted successively with n-hexane, ...
متن کاملTreatment of Malaria Parasitaemia in Infants and their Mothers
Malaria is an infection sustained by three parasites namely: Plasmodium falciparum, Plasmodium vivax, and Plasmodium ovale. Plasmodium falciparum is the most common and virulent parasite. These parasites are present in different areas of the sub-Saharan African countries and Asia. In 2010, there were an estimated 219 million cases of malaria resulting in 660,000 deaths and, approximately, two-t...
متن کاملScreening of Anti-Malarial Activity of Different Extracts Obtained from Three Species of Scrophularia Growing in Iran
Scrophularia genus belonging to the family of Scrophulariaceae, is a medicinal plant widely distributed in Iran. In the present study,the anti-malarial activity of different extracts of three Iranian endemic species of Scrophularia including S. frigida, S. subaphylla and S. atropatana, was screened by an in-vitro preliminary assay. The plant materials were extracted successively with n-hexane, ...
متن کاملClinical Pharmacology of the Antimalarial Artemisinin-Based Combination and other Artemisinins in Children
In 2010, there were estimated 219 million cases of malaria resulting in 666,000 deaths and two-thirds were children. Children are more vulnerable than adults to malaria parasites. In sub-Saharan African countries, maternal malaria is associated with up to 200,000 estimated infant deaths yearly. Malaria is caused by five Plasmodium parasites namely: Plasmodium falciparum, Plasmodium vivax, Plasm...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2005