季节性疟疾传播的间歇预防治疗(IPTc)——一项意见

A. S. Rahman
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引用次数: 0

摘要

世界卫生组织(世卫组织)目前建议采用季节性疟疾化学预防(SMC)来防治恶性疟疾,这是"在疟疾季节性传播严重的地区预防五岁以下儿童疟疾的有效、成本效益高、安全和可行的方法"。由于热带季风(雨季之后是旱季)、有河流的丘陵森林,孟加拉国是季节性疟疾传播的理想环境,特别是在吉大港山区(CHT)。西非国家成功实施了儿童间歇性预防性治疗,预防了四分之三的临床疟疾发作。孟加拉国在气候、疟疾种类和卫生系统结构方面与这些非洲国家相似。因此,IPTc可以与国家疟疾控制规划(NMCP)一起适用于孟加拉国。但需要确保持续的资金,确保对药品供应、储存和交付的良好管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intermittent Preventive Treatment (IPTc) for Seasonal Malaria Transmission-An Opinion
The World Health Organization (WHO) currently recommends seasonal malaria Chemoprevention (SMC) against falciparum malaria, which is “effective, cost-effective, safe, and feasible for the prevention of malaria among children less than five years of age in areas with highly seasonal malaria transmission”. Due to tropical monsoon (rainy season followed by dry season), hilly forests with the river, Bangladesh is an ideal setting for seasonal malaria transmission, especially in Chittagong Hill Tract (CHT) districts. Intermittent Preventive Treatment in children (IPTc) has been successfully implemented in West African countries that prevent three-quarter of all clinical malaria episodes. Bangladesh has a similar context in terms of climate, malaria species, and structure of the health system are similar to these African countries. So, IPTc can be applicable in Bangladesh along with the National Malaria Control Program (NMCP). But need to secure consistent funding ensure good management of drugs supply, storage, and delivery.
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