QUESTION: What are the drugs for a pregnant woman who has malaria for the first to third trimester? ANSWER: The treatment of malaria in pregnant women has become more challenging in recent years, as many types of malaria are developing resistance to the standard arsenal of drugs. In locations where the dominant form of malaria is still chloroquine-sensitive, chloroquine can be used safely … [Read more...]
Diagnosis of malaria or another condition?
QUESTION: Patient is responding to malaria intravenous medicines but the blood test are not showing any strains of malaria parasites. Is it possible it is malaria or some other disease? ANSWER: I'm afraid it is hard to answer this without more information regarding what steps have been taken to diagnose infection, what medication is being given, and what other clinical information is … [Read more...]
Malaria Prevention for Seniors
QUESTION: I am a healthy senior citizen (73 years) and I am considering a trip with Semester at Sea. One of the ports they plan to visit is Ghana. I see the CDC says Ghana is a "high risk" area for malaria. I think I remember being told (at the U of W Travel Medicine Clinic) a few years ago that the malaria drugs are problematic for Seniors. With the Semester at Sea ship stopping at … [Read more...]
Malaria in Brazil
QUESTION: Is there Malaria in Brazil? If so, what pills do I need to take? ANSWER: Yes, there is malaria in many parts of Brazil, and more than one type: about 75% of cases in Brazil are caused by Plasmodium vivax, whereas the rest are from infections with P. falciparum, the more acute and dangerous species of malaria. Brazil does have good information as to the distribution of malaria … [Read more...]
Malaria Prevention
Malaria prevention consists of a combination of mosquito avoidance measures and chemoprophylaxis. Although very efficacious, none of the recommended interventions are 100% effective. Mosquito Avoidance Measures Because of the nocturnal feeding habits of Anopheles mosquitoes, malaria transmission occurs primarily between dusk and dawn. Contact with mosquitoes can be reduced by … [Read more...]
Malaria Treatment
Malaria can be a severe, potentially fatal disease (especially when caused by Plasmodium falciparum) and treatment should be initiated as soon as possible. Patients who have severe P. falciparum malaria or who cannot take oral medications should be given the treatment by continuous intravenous infusion. Most drugs used in treatment are active against the parasite forms in the blood (the form … [Read more...]