n CME : Your SA Journal of CPD - Malaria : diagnosis, treatment, and prevention in primary care : main topic




Any patient presenting with fever and a history of travel to a malaria area within the preceding 6 months should be regarded as having falciparum malaria until proven otherwise. <br>Falciparum malaria is a medical emergency. <br>Malaria cannot be diagnosed on clinical grounds, and its suspicion demands urgent investigation. <br>A negative blood smear or rapid antigen test does not rule out the diagnosis of malaria. <br>It is negligent to advise against chemoprophylaxis for most malarious destinations, especially in sub-Saharan Africa. <br>Currently available efficacious chemoprophylactic agents are mefloquine, doxycycline, and atovaquone-proguanil. <br>Chloroquine and azithromycin are best avoided as antimalarials. <br>Personal protection measures against mosquito bites should be recommended in addition to, but not instead of, chemoprophylaxis.


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