Malaria Treatment in Children Based on Presumptive Diagnosis: A Make or Mar?
نویسنده
چکیده
Presumptive Diagnosis and Treatment of malaria in endemic areas has been a subject of intense debate. The effectiveness of this strategy is hindered by the prevalence of other febrile illnesses with symptoms that overlap with that of malaria. Despite, the World Health Organization's (WHO) recent recommendation that malaria should be confirmed with specific tests before treatment, the practice is still very common. This short communication discusses the current situation considering the WHO guidelines with recommendations on its optimization and sustainability.
منابع مشابه
Appropriate targeting of artemisinin‐based combination therapy by community health workers using malaria rapid diagnostic tests: findings from randomized trials in two contrasting areas of high and low malaria transmission in south‐western Uganda
OBJECTIVE To compare the impact of malaria rapid diagnostic tests (mRDTs), used by community health workers (CHWs), on the proportion of children <5 years of age receiving appropriately targeted treatment with artemisinin-based combination therapy (ACT), vs. presumptive treatment. METHODS Cluster-randomized trials were conducted in two contrasting areas of moderate-to-high and low malaria tra...
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BACKGROUND The presumptive approach of confirming malaria in health facilities leads to over-diagnosis of malaria, over use of anti-malaria drugs and the risk of drug resistance development. WHO recommends parasitological confirmation before treatment with artemisinin-based combination therapy (ACT) in all suspected malaria patients. The use of malaria rapid diagnostic tests (mRDTs) would make ...
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تاریخ انتشار 2017