Malaria Flashcards

1
Q

What are the symptoms of malaria?

A
Fever
Chills
Malaise
Myalgia
Headache
Diarrhoea
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2
Q

When should symptoms of malaria be reported?

A

Any flu-like symptoms to be reported within 3 months of travel

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3
Q

What is the best anti-malarial spray?

A

DEET 50%

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4
Q

When should DEET be applied?

A

Every 3-4 hours after suncream

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5
Q

Give lifestyle advice for avoiding mosquito bites.

A

Apply spray regularly
Use mosquito nets
Loose, long sleeves and trousers
Screens on doors and windows

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6
Q

Which anti-malarials are POM?

A

Mefloquine

Doxycycline

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7
Q

What is the dose for chloroquine?

A

500mg chloroquine phosphate weekly

Equivalent to 310mg base

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8
Q

What is the regimen for chloroquine?

A

Start one week before travel and continue 4 weeks after leaving

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9
Q

What are the contraindications considered with chloroquine?

A

Avoid in epilepsy

Safe in pregnancy if travel is essential

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10
Q

What are the side effects of chloroquine?

A

N+V
Headaches
Pruritis
Rash

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11
Q

What is the dose for proguanil?

A

200mg daily

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12
Q

What is the regimen for proguanil?

A

Start one week before travel and continue 4 weeks after leaving

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13
Q

What are the contraindications considered with proguanil?

A

Renal impairment

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14
Q

What are the side effects of proguanil?

A

GI effects

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15
Q

What is the dose for mefloquine?

A

250mg weekly

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16
Q

What is the regimen for mefloquine?

A

Start 2-3 weeks before travel and continue 4 weeks after leaving

17
Q

What are the contraindications considered with mefloquine?

A

Epilepsy

History of depression

18
Q

What are the side effects of mefloquine?

A

GI

Neuropsychiatric

19
Q

What is the dose for Atovaquone & Proguanil?

A

1 tablet daily

20
Q

What is the regimen for Atovaquone & Proguanil?

A

Start 1-2 days before travel and continue 1 week after leaving

21
Q

What are the contraindications considered with Atovaquone & Proguanil?

A

Pregnancy

Renal impairment

22
Q

What are the available brands of Atovaquone & Proguanil?

A
Malarone (POM)
Maloff Protect (OTC)
23
Q

What is the dose for doxycycline?

A

100mg daily

24
Q

What is the regimen for doxycycline?

A

Start 1-2 days before travel and continue 4 weeks after leaving

25
Q

What are the contraindications considered with doxycycline?

A

Under 12 years

Pregnancy

26
Q

What is the major benefit of doxycycline?

A

Cheap

27
Q

What are the side effects of doxycycline?

A

Photosensitivity
Diarrhoea
Nausea