Guidelines for malaria prevention in travellers from the United ...

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G UIDELINES FOR M ALARIA P REVENTION IN T RAVELLERS FROM THE U NITED K INGDOM 5.3 Blood film negative malaria One negative blood film does not exclude a diagnosis of malaria. Where malaria is suspected blood films should be examined every 12 to 24 hours for 3 days whilst other diagnoses are also considered. If all three films are negative and malaria is still considered a possible diagnosis, expert advice should be sought from a specialist in tropical or infectious diseases. It is particularly important to seek such advice early in the care of pregnant patients with suspected malaria, as the main parasite biomass may be sequestered in the placenta such that peripheral blood films are negative despite the patient having malaria (see chapter 9 for expert advice listing). 5.4 Resources for treatment advice The treatment of malaria is outside the scope of this document and will be addressed in ACMP malaria treatment guidelines. Expert advice on malaria treatment may be obtained from: 62 The Hospital for Tropical Diseases http://www.thehtd.org/ The Liverpool School of Tropical Medicine http://www.liv.ac.uk/lstm/ Your local infectious diseases unit See also the British Infection Society (BIS) website http://www.britishinfectionsociety.org/ for a malaria treatment algorithm 5.4 Notification Malaria is a statutorily notifiable disease. The clinician caring for the patient must complete a notification form. The Malaria Reference Laboratory (MRL) reporting form (MRL website www.malaria-reference.co.uk) should also be completed and should be sent to the MRL separately or along with referred specimens.
G UIDELINES FOR M ALARIA P REVENTION IN T RAVELLERS FROM THE U NITED K INGDOM 6 - Special Groups (Medical Conditions) 6.1 Smoking cessation. 65 6.2 Pregnancy. 65 6.3 Breastfeeding. 66 6.4 Anticoagulants . 66 6.5 Epilepsy. 67 6.6 Glucose 6-phosphate dehydrogenase deficiency. 67 6.7 Sickle Cell disease. 68 6.8 Immunocompromised Travellers. 68 Risks for transplant patients Risks for HIV/AIDS patients 6.9 Liver disease. 69 6.10 Renal impairment. 69 6.11 Splenectomy. 70 6.12 Acute porphyrias. 70 63
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Guidelines for Malaria Prevention i
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ABBREVIATIONS G UIDELINES FOR M ALA
Page 5 and 6:
G UIDELINES FOR M ALARIA P REVENTIO
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Page 9:
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Page 14 and 15: G UIDELINES FOR M ALARIA P REVENTIO
Page 21 and 22: 2. Awareness of Risk 2.1 What is ma
Page 23 and 24: 2.3 The malarial illness Malaria ca
Page 25: ut the risk of contracting malaria
Page 28 and 29: G UIDANCE UIDELINESFROM FOR THE M A
Page 63: 5. Diagnosis Suspected malaria is a
Page 69 and 70: individuals' medical history should
Page 71 and 72: 6.9 Liver disease Most antimalarial
Page 73 and 74: 7 - Special Categories 7.1 Children
Page 75 and 76: 7. Special Categories 7.1 Children
Page 77 and 78: As examples, cruises in the Caribbe
Page 79 and 80: 7.10 Students and children at board
Page 81 and 82: FIGURE 8 Efficacy of regimens It is
Page 83 and 84: TABLE 16 TABLE 17 G UIDELINES FOR M
Page 85 and 86: 8.1 What malaria prevention should
Page 87 and 88: 8. Frequently Asked Questions G UID
Page 97 and 98: 9. Information Resources 9.1 Expert
Page 99 and 100: 9.4 References 1 General Medical Co
Page 101 and 102: 29 Hill DR. Travel Associated Disea
Page 103 and 104: 56 Steketee RW, Wirima JJ, Slutsker
Page 105 and 106: Membership of the HPA Advisory Comm
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