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Plasmodium Falciparum: or or

This document outlines the process for diagnosing and treating malaria. It involves performing blood films to check for the malaria parasite, determining the species, and selecting the appropriate treatment based on the species, location acquired, and severity of the case. For uncomplicated malaria, oral medications are prescribed, while severe cases require hospitalization and intravenous treatment followed by a switch to oral drugs.

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Raluca Lupu
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43 views1 page

Plasmodium Falciparum: or or

This document outlines the process for diagnosing and treating malaria. It involves performing blood films to check for the malaria parasite, determining the species, and selecting the appropriate treatment based on the species, location acquired, and severity of the case. For uncomplicated malaria, oral medications are prescribed, while severe cases require hospitalization and intravenous treatment followed by a switch to oral drugs.

Uploaded by

Raluca Lupu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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History of travel to malaria-endemic

area or clinical suspicion of malaria

Perform thick and thin blood films


and read within a few hours

No

Blood film
positive?

Yes

Repeat blood films every


12 to 24 h for a total of 3 sets
No

Blood film
positive?

Yes

Calculate parasitemia
Evaluate clinical status
and disease severity

Consider alternate diagnoses

Severe malaria and/or


Patient unable to take oral medication

Uncomplicated malaria
Determine species

Plasmodium falciparum or

Non-falciparum species

species not yet identified

P. malariae

P. ovale or
P. vivax

P. vivax acquired in
Papua New Guinea
or Indonesia

acquired outside
Papua New Guinea
or Indonesia

Chloroquine or
Hydroxychloroquine
Chloroquine or
Hydroxychloroquine

P. knowlesi

Acquired in chloroquine- Acquired in chloroquine- Acquired in mefloquinesensitive area


resistant area
resistant area

Chloroquine or
Hydroxychloroquine

Atovaquone-proguanil
or
Quinine plus
tetracycline or doxycycline
or
Mefloquine

Atovaquone-proguanil
or
Artemether-lumefantrine
or
Quinine plus
tetracycline or doxycycline
or clindamycin
or
Mefloquine

Atovaquone-proguanil
or
Artemether-lumefantrine
or
Quinine plus
tetracycline or doxycycline
or clindamycin

If quinidine is unavailable
contact CDC malaria hotline for
artesunate

Plus

Primaquine if not
G6PD deficient

Intravenous quinidine plus


tetracycline, or doxycycline, or
clindamycin

Admit to hospital to monitor for progression of disease severity

Admit to intensive care unit


for continuous cardiac
monitoring. Prevent and treat
complications.
Switch to oral medicines to
complete the treatment
regimen after appropriate
clinical response

Repeat blood films if symptoms recur

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