Malaria

Question 1

Bite Protection

Answer 1

Mosquito nets impregnated with permethrin

DEET 20-50%
- suitable for >2 months
- avoid ingestion
- suitable for pregnancy and breastfeeding (clean before feeding)
- apply DEET after sunscreen (can reduces SPF if sunscreen - use high SPF)

Question 2

Malarone

Answer 2

Atovaquone + Proguanil

Before Travel: 1-2 days
Dosage: OD
After Travel: 1 week
Maximum Use: 1 year

Question 3

Chloroquine

Answer 3

Before Travel: 1 week
Dosage: once a week
After Travel: 4 weeks
Maximum Use: long-term

Question 4

Proguanil

Answer 4

Before Travel: 1 week
Dosage: OD
After Travel: 4 weeks
Maximum Use: Long-term

Question 5

Mefloquine

Answer 5

Before Travel: 2-3 weeks
Dosage: once a week
After Travel: 4 weeks
Maximum Use: 1 year

Question 6

Doxycycline

Answer 6

Before Travel: 1-2 days
Dosage: OD
After Travel: 4 weeks
Maximum Use: 2 years

Question 7

When to be worry if you is infected with Malaria?

Answer 7

Illness occurring within 1 year, especially 3 months of return

Question 8

Patient groups aware of Malaria

Answer 8

Asplenia

Pregnancy
- avoid travelling to malarious region
- chloroquine and Proguanil can be given
- take 5mg folic acid

Question 9

Malaria and warfarin

Answer 9

Start treatment 2-3 weeks before departure (INR should stable before departure)
- measure INR before starting, 7 days after starting and after completing course