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Time to move from presumptive malaria treatment to laboratory-confirmed diagnosis and treatment in African children with fever

D'Acremont , V. and Lengeler, C. and Mshinda, H. and Mtasiwa, D. and Tanner, M. and Genton, B.. (2009) Time to move from presumptive malaria treatment to laboratory-confirmed diagnosis and treatment in African children with fever. PLoS medicine, 6 (1). e252.

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Official URL: http://edoc.unibas.ch/45725/

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Abstract

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
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Interventions > Malaria Interventions (Lengeler)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Systems Research and Dynamic Modelling > Health Systems and Policies (de Savigny)
UniBasel Contributors:Lengeler, Christian and Tanner, Marcel and Genton, Blaise and D'Acremont, Valérie
Item Type:Article, refereed
Publisher:PLoS
ISSN:1549-1277
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:20 Feb 2017 14:29
Deposited On:20 Feb 2017 14:29

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