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Malaria prophylaxis for long-term travellers.

C Hughes1, R Tucker, B Bannister

  • 1Health Protection Agency, Colindale.

Communicable Disease and Public Health
|January 8, 2004
PubMed
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This document provides guidance for healthcare workers on long-term malaria prevention for travellers staying abroad over six months. It addresses adult use of antimalarials, with considerations for women and children, acknowledging limited data on long-term efficacy and incidence.

Area of Science:

  • Travel Medicine
  • Infectious Disease Prevention
  • Public Health

Background:

  • Limited data exists on the long-term efficacy and safety of antimalarials for travellers.
  • Incidence and mortality rates of malaria in travellers abroad are not well-documented.
  • Existing guidelines focus on shorter-term travel and require supplementation for long-term prophylaxis.

Purpose of the Study:

  • To provide healthcare professionals with guidelines for advising long-term travellers (over 6 months) on malaria prophylaxis.
  • To supplement existing malaria prevention guidelines with a focus on extended duration travel.
  • To address specific considerations for women and children undertaking long-term travel.

Main Methods:

  • Compilation of available evidence on antimalarial use for long-term travellers.

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  • Inclusion of expert professional opinion to supplement data limitations.
  • Development as a supplementary document to the 'Guidelines for malaria prevention in travellers from the United Kingdom for 2003'.

    • Main Results:

    • Guidelines are presented for the long-term use of antimalarials in adults.
    • Specific issues concerning malaria prevention for women and children on long-term travel are identified.
    • Emphasis is placed on using these guidelines in conjunction with official drug documentation.

    Conclusions:

    • Healthcare workers can use these guidelines to advise long-term travellers on malaria prophylaxis.
    • The guidelines acknowledge data limitations and incorporate expert opinion for comprehensive advice.
    • Collaboration with drug licensing information (Summary of Product Characteristics) is recommended for informed decision-making.