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Delayed Onset of Malaria — Implications for Chemoprophylaxis in Travelers
by
Parise, Monica
, Kozarsky, Phyllis
, Schwartz, Eli
, Cetron, Martin
in
Antimalarials - therapeutic use
/ Biological and medical sciences
/ Chloroquine - therapeutic use
/ Drug Resistance
/ Endemic Diseases - prevention & control
/ Epidemiology
/ Erythrocytes
/ Human protozoal diseases
/ Humans
/ Infections
/ Infectious diseases
/ Israel - epidemiology
/ Malaria
/ Malaria - epidemiology
/ Malaria - parasitology
/ Malaria - prevention & control
/ Malaria, Falciparum - epidemiology
/ Malaria, Falciparum - prevention & control
/ Malaria, Vivax - epidemiology
/ Malaria, Vivax - prevention & control
/ Medical sciences
/ Mefloquine - therapeutic use
/ Mosquitoes
/ Parasitic diseases
/ Plasmodium ovale
/ Plasmodium vivax
/ Population Surveillance
/ Proteins
/ Protozoal diseases
/ Time Factors
/ Travel
/ Tropical medicine
/ United States - epidemiology
2003
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Delayed Onset of Malaria — Implications for Chemoprophylaxis in Travelers
by
Parise, Monica
, Kozarsky, Phyllis
, Schwartz, Eli
, Cetron, Martin
in
Antimalarials - therapeutic use
/ Biological and medical sciences
/ Chloroquine - therapeutic use
/ Drug Resistance
/ Endemic Diseases - prevention & control
/ Epidemiology
/ Erythrocytes
/ Human protozoal diseases
/ Humans
/ Infections
/ Infectious diseases
/ Israel - epidemiology
/ Malaria
/ Malaria - epidemiology
/ Malaria - parasitology
/ Malaria - prevention & control
/ Malaria, Falciparum - epidemiology
/ Malaria, Falciparum - prevention & control
/ Malaria, Vivax - epidemiology
/ Malaria, Vivax - prevention & control
/ Medical sciences
/ Mefloquine - therapeutic use
/ Mosquitoes
/ Parasitic diseases
/ Plasmodium ovale
/ Plasmodium vivax
/ Population Surveillance
/ Proteins
/ Protozoal diseases
/ Time Factors
/ Travel
/ Tropical medicine
/ United States - epidemiology
2003
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Delayed Onset of Malaria — Implications for Chemoprophylaxis in Travelers
by
Parise, Monica
, Kozarsky, Phyllis
, Schwartz, Eli
, Cetron, Martin
in
Antimalarials - therapeutic use
/ Biological and medical sciences
/ Chloroquine - therapeutic use
/ Drug Resistance
/ Endemic Diseases - prevention & control
/ Epidemiology
/ Erythrocytes
/ Human protozoal diseases
/ Humans
/ Infections
/ Infectious diseases
/ Israel - epidemiology
/ Malaria
/ Malaria - epidemiology
/ Malaria - parasitology
/ Malaria - prevention & control
/ Malaria, Falciparum - epidemiology
/ Malaria, Falciparum - prevention & control
/ Malaria, Vivax - epidemiology
/ Malaria, Vivax - prevention & control
/ Medical sciences
/ Mefloquine - therapeutic use
/ Mosquitoes
/ Parasitic diseases
/ Plasmodium ovale
/ Plasmodium vivax
/ Population Surveillance
/ Proteins
/ Protozoal diseases
/ Time Factors
/ Travel
/ Tropical medicine
/ United States - epidemiology
2003
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Delayed Onset of Malaria — Implications for Chemoprophylaxis in Travelers
Journal Article
Delayed Onset of Malaria — Implications for Chemoprophylaxis in Travelers
2003
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Overview
This study identified 300 patients in Israel and 2822 in the United States who presented with clinical malaria after travel to areas of endemic disease. Of these patients, 36 percent presented more than two months after returning home, and most had used an antimalarial regimen according to national guidelines.
A different strategy is needed.
The appropriate choice of drugs for chemoprophylaxis against malaria in travelers remains controversial and is affected by several issues, including drug efficacy, tolerance, convenience, and cost. The declining efficacy of chloroquine against
Plasmodium falciparum
in most malarious areas of the world precludes the routine use of this drug, which was the mainstay of prophylaxis and treatment for decades. Given the low risk of infection for many travelers, drug tolerance may limit use if adverse effects are too frequent or severe. For example, amodiaquine and sulfadoxine–pyrimethamine were found to have low but unacceptable rates of severe adverse effects.
1
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3
Concern about . . .
Publisher
Massachusetts Medical Society
Subject
Antimalarials - therapeutic use
/ Biological and medical sciences
/ Chloroquine - therapeutic use
/ Endemic Diseases - prevention & control
/ Humans
/ Malaria
/ Malaria - prevention & control
/ Malaria, Falciparum - epidemiology
/ Malaria, Falciparum - prevention & control
/ Malaria, Vivax - epidemiology
/ Malaria, Vivax - prevention & control
/ Mefloquine - therapeutic use
/ Proteins
/ Travel
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