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dc.contributor.authorKimerling, M*
dc.contributor.authorHouth, H*
dc.contributor.authorHilderbrand, K*
dc.contributor.authorGoubert, L*
dc.date.accessioned2008-04-18T12:13:12Z
dc.date.available2008-04-18T12:13:12Z
dc.date.issued1995-12
dc.identifier.citationIdentifying malaria control issues: a district hospital-based evaluation. 1995, 26 (4):611-9 Southeast Asian J. Trop. Med. Public Healthen
dc.identifier.issn0125-1562
dc.identifier.pmid9139362
dc.identifier.urihttp://hdl.handle.net/10144/23760
dc.description.abstractChuk district hospital is centrally located in a rural malarious region in southern Cambodia. It was the site of a hospital-based evaluation (KAP assessment and in vivo i.v. quinine/oral tetracycline drug study) done to identify relevant issues for establishing a rational malaria control strategy. The KAP assessment identified the young, male forest worker as the highest risk group. Of 112 study patients, 73% were male and 82% reported various forest activities. The primary reason found for patient delay (8.9 days) in seeking hospital care was self-treatment at home (N = 102, 91%) with drugs purchased through private sellers (104/105). Using the 7-day WHO field test methodology, resistance rates were calculated (N = 22); S1/R1, 73%; R1, 9%; R2, 0%; R3, 18%. A modified version of the 7-day test was used to calculate its utility in this particular rural setting. It showed a negative predictive value of 93% and a positive predictive value of 71%. The case fatality rate for the study period was 2.7%. Information from this study, which correlates a confirmed malaria diagnosis with prior patient behavior and response to anti-malarial therapy, is intended for realizing the goals set forth by the national malaria control program.
dc.language.isoenen
dc.rightsArchived with thanks to The Southeast Asian Journal of Tropical Medicine and Public Healthen
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAnti-Bacterial Agentsen
dc.subject.meshAntimalarialsen
dc.subject.meshCambodiaen
dc.subject.meshChilden
dc.subject.meshChild, Preschoolen
dc.subject.meshDrug Therapy, Combinationen
dc.subject.meshFemaleen
dc.subject.meshForestryen
dc.subject.meshHealth Knowledge, Attitudes, Practiceen
dc.subject.meshHospitals, Districten
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshMalaria, Falciparumen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshQuinineen
dc.subject.meshRural Healthen
dc.subject.meshTetracyclineen
dc.subject.meshTreatment Outcomeen
dc.titleIdentifying malaria control issues: a district hospital-based evaluation.en
dc.contributor.departmentMSF Holland-Belgium, Phnom Penh, Cambodia.en
dc.identifier.journalThe Southeast Asian Journal of Tropical Medicine and Public Healthen
refterms.dateFOA2019-03-04T09:57:32Z
html.description.abstractChuk district hospital is centrally located in a rural malarious region in southern Cambodia. It was the site of a hospital-based evaluation (KAP assessment and in vivo i.v. quinine/oral tetracycline drug study) done to identify relevant issues for establishing a rational malaria control strategy. The KAP assessment identified the young, male forest worker as the highest risk group. Of 112 study patients, 73% were male and 82% reported various forest activities. The primary reason found for patient delay (8.9 days) in seeking hospital care was self-treatment at home (N = 102, 91%) with drugs purchased through private sellers (104/105). Using the 7-day WHO field test methodology, resistance rates were calculated (N = 22); S1/R1, 73%; R1, 9%; R2, 0%; R3, 18%. A modified version of the 7-day test was used to calculate its utility in this particular rural setting. It showed a negative predictive value of 93% and a positive predictive value of 71%. The case fatality rate for the study period was 2.7%. Information from this study, which correlates a confirmed malaria diagnosis with prior patient behavior and response to anti-malarial therapy, is intended for realizing the goals set forth by the national malaria control program.


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