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Preventive therapy for malaria.

L W Johnson1

  • 1U.S. Peace Corps, Washington, D.C.

American Family Physician
|August 1, 1991
PubMed
Summary
This summary is machine-generated.

Malaria incidence in US travelers is rising. Travelers should use repellents, protective clothing, and consider chemoprophylaxis like chloroquine or mefloquine, continuing treatment post-travel.

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Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Increasing incidence of malaria in travelers returning to the United States.
  • Need for effective prevention and treatment strategies for imported malaria.

Purpose of the Study:

  • To outline current recommendations for malaria prevention and treatment in international travelers.
  • To address the challenge of increasing chloroquine-resistant malaria.

Main Methods:

  • Review of current guidelines for malaria chemoprophylaxis and presumptive treatment.
  • Emphasis on personal protective measures against mosquito bites.

Main Results:

  • Chemoprophylaxis recommendations include chloroquine and mefloquine for specific regions.

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  • Presumptive treatment with pyrimethamine-sulfadoxine is advised for travelers to high-risk areas.
  • Continuation of chemoprophylaxis for 4-5 weeks post-travel is crucial.

    • Conclusions:

    • Adherence to preventive measures and appropriate chemoprophylaxis is essential for travelers.
    • Prompt treatment is critical for travelers developing malaria symptoms, even with negative blood smears.