Management of severe malaria in children: proposed guidelines for the United Kingdom

被引：34

作者：

Maitland, K

Nadel, S

Pollard, AJ

Williams, TN

Newton, CRJC

Levin, M

机构：

[1] Kenya Govt Med Res Ctr, Wellcome Trust Programme, Ctr Geog Med Res Coast, Kilifi, Kenya

[2] St Marys Hosp, Dept Paediat, London W2 1NY, England

[3] Univ Oxford, John Radcliffe Hosp, Dept Paediat, Oxford OX3 9DU, England

[4] Univ Sussex, Brighton & Sussex Med Sch, Brighton BN1 9PS, E Sussex, England

来源：

BRITISH MEDICAL JOURNAL | 2005年 / 331卷 / 7512期

关键词：

D O I：

10.1136/bmj.331.7512.337

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Malaria is the most important imported mosquito borne infection in the United Kingdom As preventive measures are never 100% effective, malaria should be suspected in any patient with "flu-like symptoms" who has travelled to malarious areas within a year Most cases of severe malaria result from a failure to expedite prompt "same day" diagnosis and initiate appropriate treatment in patients with suspected malaria Oral quinine and chloroquine or pyrimethamine with sulfadoxine should never be prescribed to treat falciparum malaria in children In children, the development of one or more features of severe or complicated malaria constitutes a medical emergency The emergency assessment of a child with severe malaria should follow the structured approach advocated by the Advanced Paediatric Life Support guidelines If in doubt: admit, monitor closely, and seek specialist advice.

引用

页码：337 / 343

页数：7

共 34 条

[1]

*AM HEART ASS, 1997, PED ADV LIF SUPP 199

[2]

[Anonymous], 2000, T R SOC TROP MED S1, V94, pS1

[3] THE INCIDENCE AND OUTCOME OF NEUROLOGICAL ABNORMALITIES IN CHILDHOOD CEREBRAL MALARIA - A LONG-TERM FOLLOW-UP OF 62 SURVIVORS [J].

BONDI, FS .

TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1992, 86 (01) :17-19

[4]

BRADLEY D, 2003, ILLNESS ENGLAND WALE, P48

[5] Speech and language sequelae of severe malaria in Kenyan children [J].

Carter, JA ;

Murira, GM ;

Ross, AJ ;

Mung'ala-Odera, V ;

Newton, CRJC .

BRAIN INJURY, 2003, 17 (03) :217-224

[6]

Crawley J, 1996, QJM-INT J MED, V89, P591

[7] Effect of phenobarbital on seizure frequency and mortality in childhood cerebral malaria: a randomised, controlled intervention study [J].

Crawley, J ;

Waruiru, C ;

Mithwani, S ;

Mwangi, I ;

Watkins, W ;

Ouma, D ;

Winstanley, P ;

Peto, T ;

Marsh, K .

LANCET, 2000, 355 (9205) :701-706

[8] Deep breathing in children with severe malaria: Indicator of metabolic acidosis and poor outcome [J].

English, M ;

Waruiru, C ;

Amukoye, E ;

Murphy, S ;

Crawley, J ;

Mwangi, I ;

Peshu, N ;

Marsh, K .

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1996, 55 (05) :521-524

[9] A new system for grading recommendations in evidence based guidelines [J].

Harbour, R ;

Miller, J .

BRITISH MEDICAL JOURNAL, 2001, 323 (7308) :334-336

[10] Imported falciparum malaria in europe:: Sentinel surveillance data from the European network on surveillance of imported infectious diseases [J].

Jelinek, T ;

Schulte, C ;

Behrens, R ;

Grobusch, MP ;

Coulaud, JP ;

Bisoffi, Z ;

Matteelli, A ;

Clerinx, J ;

Corachán, M ;

Puente, S ;

Gjorup, I ;

Harms, G ;

Kollaritsch, H ;

Kotlowski, A ;

Björkmann, A ;

Delmont, JP ;

Knobloch, J ;

Nielsen, LN ;

Cuadros, J ;

Hatz, C ;

Beran, J ;

Schmid, ML ;

Schulze, M ;

Lopez-Velez, R ;

Fleischer, K ;

Kapaun, A ;

McWhinney, P ;

Kern, P ;

Atougia, J ;

Fry, G ;

da Cunha, S ;

Boecken, G .

CLINICAL INFECTIOUS DISEASES, 2002, 34 (05) :572-576

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