no more a loser
Forum Guru
Topics: 140
Posts: 580
|
1)what is recommended malaria prophylaxis for someone travelling to Carribean/S America?
2) whats the drug if resistant strains r present in the area?
3) whats the malaria px for pregnant pt?
|
| alice8
Forum Guru
Topics: 37
Posts: 643
|
Hi looser girl :P
For your good Q's I've searched from some web pages including WHO's (just because i ve got no source of preventive medicine book for step 2 yet) :oops: so maybe the answers are going to be different which you are expecting..i hope they are right
For the first one.... There is no risk of malaria in many tourist destinations in South-East Asia, Latin America and the Caribbean.
2nd one... in this situations (no respond to treatment with chloroquine or sulfadioxine-pyrimethamine) doxycycline or atovaquone /proquanil can be used for chemoprophylaxis together...
for pregnant women :these drugs cannot be given to pregnant women and children. Since there is no prophylactic regimen that is both effective and safe for these groups in areas of multidrug-resistant malaria, pregnant women and young children should avoid travelling to these malarious areas.
For the 3rd one....In the few areas with exclusively P. vivax transmission or where P. falciparum can be expected to be 100% sensitive to chloroquine, prophylaxis with chloroquine alone may be used.
In areas with chloroquine-resistant P. falciparum, prophylaxis with chloroquine plus proguanil can be safely prescribed during the first 3 months of pregnancy. However, its efficacy may be severely limited.
Mefloquine prophylaxis may be given during the second and the third trimesters, but should be used with caution during the first trimester.
Other drugs are either dangerous to the fetus or have been insufficiently well investigated to be prescribed for prophylaxis in pregnancy.
oops..thats all :P
.
___________________
Dream on 'til your dream comes true.
|
|
|
alice  : hey u might be more accurate as u search for these answers but my knowledge is quite simple n comes from kaplan notes so here it is:
1)what is recommended malaria prophylaxis for someone travelling to Carribean/S America? Chloroquine
2) whats the drug if resistant strains r present in the area? mefloquine or doxycycline
3) whats the malaria px for pregnant pt? combo pf atovaquone and proguanil
|
| no more a loser
Forum Guru
Topics: 140
Posts: 580
|
last post is by me as guest, sorry forgot to log in
|
| Drmos
Forum Junior
Topics: 8
Posts: 41
|
absolutely guest.....you´re right...I´m from LatinAmerica but the phrophylaxis is only if you go to an endemic area, if you come to Santiago de Chile you don´t need cloroquine....you can find the maps in the WHO also.....but for the boards.....choose CLOROQUINE.......BYE :lol: 8)  :o :idea:
|
| chemamr
Forum Hero
Topics: 703
Posts: 4,462
|
I agree with no more a loser
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
|
| |
| | | | | | |
