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    Mar 04, 2021
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    Case management of malaria in Swaziland, 2011-2015: on track for elimination?

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    Dlamini et al - 2018 - Case ...
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    Authors
    Dlamini, SV
    Kosgei, RJ
    Mkhonta, N
    Zulu, Z
    Makadzange, K
    Zhou, S
    Owiti, P
    Sikhondze, W
    Namboze, J
    Reid, A
    Kunene, S
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    Issue Date
    2018-04-25
    Submitted date
    2018-05-11
    
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    Journal
    Public Health Action
    Abstract
    Objective: To assess adherence to malaria diagnosis and treatment guidelines (2010 and 2014) in all health care facilities in Swaziland between 2011 and 2015. Methods: This was a cross-sectional descriptive study involving all health care facilities that diagnosed and managed malaria cases in Swaziland. Patients' age, sex, diagnosis method and type of treatment were analysed. Results: Of 1981 records for severe and uncomplicated malaria analysed, 56% of cases were uncomplicated and 14% had severe malaria. The type of malaria was not recorded for 30% of cases. Approximately 71% of cases were confirmed by rapid diagnostic tests (RDT) alone, 3% by microscopy alone and 26% by both RDT and microscopy. Of the uncomplicated cases, 93% were treated with artemether-lumefantrine (AL) alone, 5% with quinine alone and 2% with AL and quinine. Amongst the severe cases, 11% were treated with AL alone, 44% with quinine alone and 45% with AL and quinine. For severe malaria, clinics and health centres prescribed AL alone more often than hospitals (respectively 13%, 12% and 4%, P = 0.03). Conclusion: RDTs and/or microscopy results are used at all facilities to inform treatment. Poor recording of malaria type causes difficulties in assessing the prescription of antimalarial drugs.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/619154
    DOI
    10.5588/pha.17.0047
    PubMed ID
    29713586
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.17.0047
    Scopus Count
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