New italian guidelines for malaria prophylaxis in travellers to endemic areas
| Autor: | G, Calleri, F, Castelli, I, El Hamad, F, Gobbi, A, Matteelli, G, Napoletano, R, Romi, A, Rossanese, Italian Society of Tropical Medicine |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Pediatrics Visiting friends and relatives Plasmodium vivax malaria Chemoprevention Antimalarials parasitic diseases Humans Medicine Travel medicine guidelines Socioeconomics China Health policy biology business.industry Amazon rainforest Health Policy Malaria prophylaxis prophylaxis Insect Bites and Stings General Medicine medicine.disease biology.organism_classification Infectious Diseases Italy business Travel Medicine Malaria |
| Popis: | As a consequence of the rapid evolution of malaria prophylaxis recommendations throughout the world, the Italian Society of Tropical Medicine (SIMET—Societa Italiana di Medicina Tropicale) has set up a working group in charge of preparing a new national guideline. Other scientific societies interested in the topic were also involved in the project. The group stated that awareness about malaria risk and characteristics, as well as protection from mosquito bites, are recommended for all travellers visiting malaria-endemic countries. The risk and benefit of malaria chemoprophylaxis must be carefully balanced before prescribing drugs: the disease-related risk must outweigh the possibility of drugs’ side effects. As a general rule, malaria pills are the first choice for travellers to high-risk areas, such as sub-Saharan Africa, Eastern India, Myanmar, Eastern Indonesia, Papua New Guinea and, with some limitations, South-East Asia, and the Amazon part of Venezuela, Guyana and French Guyana. However, several other factors, such as itinerary, season, duration of trip, availability of insect bite protection, pre-existing conditions and compliance, must be taken into account. In low-risk areas, stand-by emergency treatment is the first option. In minimal-risk areas and in Plasmodium vivax areas, a prompt diagnosis only is advised (Central America, South America outside the Amazon basin, Middle East, China, Thailand, Nepal). Recommendations may be modified when particular groups of travellers are concerned, such as long-term residents, visiting friends and relatives, patients with pre-existing conditions, pregnant women and children. |
| Databáze: | OpenAIRE |
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