Time to move from presumptive malaria treatment to laboratory-confirmed diagnosis and treatment in African children with fever.
Détails
ID Serval
serval:BIB_029E79E56791
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Time to move from presumptive malaria treatment to laboratory-confirmed diagnosis and treatment in African children with fever.
Périodique
Plos Medicine
ISSN
1549-1676 (Electronic)
ISSN-L
1549-1277
Statut éditorial
Publié
Date de publication
2009
Volume
6
Numéro
1
Pages
e252
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
BACKGROUND TO THE DEBATE: Current guidelines recommend that all fever episodes in African children be treated presumptively with antimalarial drugs. But declining malarial transmission in parts of sub-Saharan Africa, declining proportions of fevers due to malaria, and the availability of rapid diagnostic tests mean it may be time for this policy to change. This debate examines whether enough evidence exists to support abandoning presumptive treatment and whether African health systems have the capacity to support a shift toward laboratory-confirmed rather than presumptive diagnosis and treatment of malaria in children under five.
Mots-clé
Africa South of the Sahara, Antimalarials/therapeutic use, Child, Preschool, Clinical Laboratory Techniques/utilization, Fever/drug therapy, Fever/etiology, Humans, Malaria/complications, Malaria/diagnosis
Pubmed
Web of science
Open Access
Oui
Création de la notice
02/07/2010 19:58
Dernière modification de la notice
20/08/2019 13:24