Stand-by treatment of suspected malaria in travellers.

H D Nothdurft, T Jelinek, S M Pechel, F Hess, H Maiwald, A Marschang, F von Sonnenburg, T Weinke, T Löscher
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Abstract

Travellers to malarious areas are increasingly advised to carry an emergency medication for self-treatment of suspected malaria in absence of medical attention. However, no data are available so far how travellers cope with self-diagnosis and stand by treatment (SBT). We therefore investigated the frequency, circumstances and outcome of emergency self-treatment for suspected malaria in German travellers. 3434 travellers were recruited for an open prospective study by 28 different travel clinics in Germany. 2867 travellers (90.1%) who returned questionnaires after their journey were analyzed. 40 travellers (1.4%) reported about SBT during their journey. Significant Plasmodium falciparum antibody levels could be demonstrated in only 4 of 37 SBT users (10.4%). In another 127 travellers with febrile episodes but without SBT use, no malaria was indicated by follow-up and/or serology.

为旅行者提供疑似疟疾的备用治疗。
越来越多地建议前往疟疾流行地区的旅行者携带紧急药物,以便在没有医疗照顾的情况下自行治疗疑似疟疾。然而,到目前为止,还没有关于旅行者如何应对自我诊断和备用治疗(SBT)的数据。因此,我们调查了德国旅行者对疑似疟疾进行紧急自我治疗的频率、情况和结果。德国28家不同的旅行诊所招募了3434名旅行者进行开放的前瞻性研究。2867名旅行者(90.1%)在旅行后返回问卷进行分析。40名旅客(1.4%)在旅途中报告了SBT。37名SBT使用者中只有4人(10.4%)的恶性疟原虫抗体水平显著。在另外127名有发热发作但未使用SBT的旅行者中,随访和/或血清学未发现疟疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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