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Chapter-35 Malaria

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Ganguly Nupur
2. Kundu Ritabrata
3. Ghosh Tapan Kumar
ISBN
9788184489507
DOI
10.5005/jp/books/11182_35
Edition
3/e
Publishing Year
2011
Pages
5
Author Affiliations
1. Institute of Child Health, Kolkata, Institute of Child Health, Kolkata, West Bengal, India, Institute of Child Health, Dr Biresh Guha Street, Kolkata, West Bengal, India, Institute of Child Health, Calcutta, Institute of Child Health, Kolkata, West Bengal, Associate Professor, Department of Pediatric Medicine
2. Institute of Child Health, Dr Biresh Guha Street, Kolkata, West Bengal, India, Institute of Child Health, Kolkata, West Bengal, India, Institute of Child Health, Kolkata, West Bengal, India; IAP Infectious Diseases Chapter 2012; West Bengal Academy of Pediatrics 2011, Institute of Child Health, Kolkata, West Bengal, India; IAP Infectious Diseases Chapter 2012, West Bengal Academy of Pediatrics 2011
3. Institute of Child Health, Kolkata, West Bengal, India, 5 Sri Aurobindo Marg, New Delhi,Email: sghosh@del13.vsnl.net.in, Institute of Child Health, Kolkata, Institute of Child Health, Kolkata, West Bengal, India; IAP Infectious Diseases Chapter; APCRI and ASAP, India
Chapter keywords

Abstract

Malaria is one of the leading cause of morbidity and mortality in developing countries. Nearly 2.48 million malaria cases are reported annually from South Asia of which 75% cases are contributed by India alone. It is heartening to know the total number of laboratory confirmed cases have declined from 3 million reported in 1997 to 1.84 million in early 2000. At the same time, it is perplexing that the number of falciparum cases is constantly on the rise and in recent years they contribute nearly 50% of the total cases. The number of falciparum malaria as well as multidrug resistant falciparum malaria cases are constantly on the rise. So there was need to revise the existing treatment guidelines for malaria with special reference to artemisinin based combination therapy. The need for artemisinin based combination therapy is emphasized in chloroquine resistant falciparum malaria. Monotherapy with artesunate will further increase the resistance. Once malaria treatment is initiated it should be completed. In severe malaria the maintenance dose of artesunate is revised.

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