flashcards_malaria

Question 1

What should be done for all children suspected of having malaria?

Answer 1

Arrange immediate admission for specialist assessment and treatment.

Question 2

What should be done if a child with malaria is already in the hospital?

Answer 2

Discuss urgently with an infectious disease specialist.

Question 3

What is the management for uncomplicated P. falciparum malaria?

Answer 3

Artemisinin combination therapy (such as artemether with lumefantrine or artenimol with piperaquine phosphate), or chloroquine/hydroxychloroquine if infection is from a chloroquine-sensitive region.

Question 4

What is the second line treatment for uncomplicated P. falciparum malaria?

Answer 4

Quinine, usually given with an antibiotic.

Question 5

What is the management for severe P. falciparum malaria?

Answer 5

Parenteral artesunate then switch to oral artemisinin combination therapy after at least 24 hours, supportive care +/- intensive care.

Question 6

What is the management for non-Falciparum malaria (Plasmodium vivax, P. ovale, P. malariae, P. knowlesi)?

Answer 6

Artemisinin combination therapy (such as artemether with lumefantrine) or chloroquine.

Question 7

Who should be notified of all malaria cases?

Answer 7

Notify the local Health Protection Team (HPT) / Public Health England (now called UKHSA).