[Management of childhood malaria in Switzerland].
Imported malaria is a rare condition in current paediatric practice in Switzerland but should be suspected in all febrile children returning from a malaria-endemic region. Immediate treatment is essential to decrease the risk of complications and mortality. Severity criteria must always be searched for. We suggest a diagnostic strategy based on the use of microscopy and rapid antigen-detection tests. Treatment depends on the Plasmodium species and the severity of illness. For uncomplicated malaria, a drug combination that includes an artemisinin derivative should be used in priority. Atovaquone/proguanil represents an alternative. Chloroquine can be used in most cases of malaria caused by another Plasmodium species. Severe malaria must be treated intravenously with quinine and soon with artesunate.
Service de médecine internationale et humanitaire, Département de médecine communautaire, de premier recours et des urgences, HUG, 1211 Genève 14. noemie.wagner@hcuge.ch
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Wagner
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Posfay-Barbe
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Chappuis
D000962:Antimalarials / Q000627:therapeutic use; D002648:Child; D003663:Decision Trees; D019353:Endemic Diseases; D006801:Humans; D008288:Malaria / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D014195:Travel; D014944:World Health Organization
D000962:Antimalarials