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Overview :
The 12th Consenus Conference for Anti-Infective Therapy of the
French-Speaking Society of Infectious Diseases listed criteria which can be used
to identify a patient with falciparum malaria who can be managed as an
outpatient.
Clinical features:
(1) absence of signs indicating severe disease
(2) no gastrointestinal symptoms
(3) no conditions associated with increased risk
(3a) old
age
(3b) history of
splenectomy
(3c)
pregnancy
(3d)
cardiovascular disease
(3e) serious
underlying disease
Laboratory findings:
(1) results of the parasitology examination readily
available
(2) parasitemia < 5%
Treatment issues:
(1) no socioeconomic factors that may interfere with
compliance
(2) hospital nearby
(3) medications available for immediate intake
(4) able to make followup visits on days 3 and 7
(5) not living alone
If all of these factors are present then a patient with
falciparum malaria can be safely managed as an outpatient.
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