Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?

Background to the debate: Current guidelines recommend that all fever episodes in African children be treated presumptively with antimalarial drugs. But declining malarial transmission in parts of sub-Saharan Africa, declining proportions of fevers due to malaria, and the availability of rapid diagn...

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Main Authors: English, M, Reyburn, H, Goodman, C, Snow, R
Format: Journal article
Language:English
Published: 2009
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author English, M
Reyburn, H
Goodman, C
Snow, R
author_facet English, M
Reyburn, H
Goodman, C
Snow, R
author_sort English, M
collection OXFORD
description Background to the debate: Current guidelines recommend that all fever episodes in African children be treated presumptively with antimalarial drugs. But declining malarial transmission in parts of sub-Saharan Africa, declining proportions of fevers due to malaria, and the availability of rapid diagnostic tests mean it may be time for this policy to change. This debate examines whether enough evidence exists to support abandoning presumptive treatment and whether African health systems have the capacity to support a shift toward laboratory-confirmed rather than presumptive diagnosis and treatment of malaria in children under five. © 2009 English et al.
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spelling oxford-uuid:5964088a-74e1-4b5c-ae20-0911b4f129592022-03-26T17:09:31ZAbandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5964088a-74e1-4b5c-ae20-0911b4f12959EnglishSymplectic Elements at Oxford2009English, MReyburn, HGoodman, CSnow, RBackground to the debate: Current guidelines recommend that all fever episodes in African children be treated presumptively with antimalarial drugs. But declining malarial transmission in parts of sub-Saharan Africa, declining proportions of fevers due to malaria, and the availability of rapid diagnostic tests mean it may be time for this policy to change. This debate examines whether enough evidence exists to support abandoning presumptive treatment and whether African health systems have the capacity to support a shift toward laboratory-confirmed rather than presumptive diagnosis and treatment of malaria in children under five. © 2009 English et al.
spellingShingle English, M
Reyburn, H
Goodman, C
Snow, R
Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?
title Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?
title_full Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?
title_fullStr Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?
title_full_unstemmed Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?
title_short Abandoning presumptive antimalarial treatment for febrile children aged less than five years - A case of running before we can walk?
title_sort abandoning presumptive antimalarial treatment for febrile children aged less than five years a case of running before we can walk
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