Malaria in Children VIDEO LECTURE
Children are the worst affected, especially children aged 6 months to 5 years.There were an estimated 438 000 malaria deaths around the world in
2015, of which approximately 69% were in children under 5 years of age.Severe anemia, hypoglycemia and cerebral malaria are features of severe malaria more commonly seen in children than in adults.
- use of long-lasting insecticidal nets (LLINs);
- prompt diagnosis and effective treatment of malaria infections.
- in areas of moderate-to-high transmission in sub-Saharan Africa, intermittent preventive therapy for infants (IPTi), except in areas where WHO recommends administration of seasonal malaria chemoprevention SMC;
- in areas with highly seasonal transmission of the Sahel sub-region of Africa, seasonal malaria chemoprevention (SMC) for children aged between 3 and 59 months;
Diagnosis and treatment
children with suspected malaria should have parasitological
confirmation of diagnosis before treatment begins, provided that
diagnosis does not significantly delay treatment.
WHO recommends new adjusted dosing schemes for dihydro-artemisinin + piperaquine in children weighing less than 25 kg and for parenteral artesunate in children weighing less than 20 kg. For infants weighing less than 5 kg with uncomplicated P. falciparum, WHO recommends treatment with an ACT at the same mg/kg body weight dose as for children weighing 5 kg.
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