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Published on: July 17, 2014
[Malaria prevention: the general practitioners experience on the Reunion Island]
S Di Bernardo1, B Guihard, G Wartel
1CHR Félix-Guyon, Saint-Denis, La Réunion, France. serv-bert@orange.fr
Malaria prevention practices among Reunion Island general practitioners are suboptimal, with many not adhering to guidelines for chemoprophylaxis or mosquito bite protection. This increases the risk of malaria resurgence despite official eradication.
Area of Science:
- Medical Entomology
- Tropical Medicine
- Public Health
Background:
- Malaria officially eradicated from Reunion Island in 1979, but the persistent vector Anopheles arabiensis poses a resurgence risk.
- A significant proportion of malaria cases in Reunion Island are imported by travelers from endemic regions like Madagascar and Comoros.
- Many imported malaria cases involved patients who did not follow recommended chemoprophylaxis regimens.
Purpose of the Study:
- To assess the malaria prevention practices of general practitioners (GPs) in Reunion Island.
- To identify gaps in GPs' knowledge and adherence to malaria prevention guidelines, including chemoprophylaxis and mosquito bite protection.
- To understand factors influencing GPs' prescribing habits and information sources for malaria prevention.
Main Methods:
- A survey was conducted among 100 general practitioners on Reunion Island.
- The survey focused on their practices regarding malaria prevention, including patient consultations, chemoprophylaxis recommendations, and mosquito bite protection advice.
- Practices were compared against national guidelines and information sources were investigated.
Main Results:
- GPs themselves exhibit suboptimal malaria prevention practices, neglecting mosquito bite protection.
- Only 40% of GPs adhere to official recommendations for malaria chemoprophylaxis prescriptions.
- GPs rely heavily on pharmaceutical industry information and find national references difficult to access, sometimes deliberately deviating from guidelines due to treatment costs.
Conclusions:
- There is a critical need to improve malaria prevention practices among GPs in Reunion Island.
- Enhancing networking between GPs and reference centers is crucial for promoting optimal chemoprophylaxis and mosquito bite protection strategies.
- Targeted interventions are necessary, especially for high-risk travelers, to mitigate the risk of malaria resurgence.
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