Malaria

Plasmodium falciparum

Quinine sulfate*7 days + tetra of doxy or clinda 7days

Ex.Quinine sulfate 650 mg(salt)(542mg base) tid + tetra 250 mg qid 7days(Doxy100 mg bid)

เด็ก QS 10mg/kg Clinda 20mg/kg/dose tid 7days

Ex.complicated malaria fever 4 day CBC Lab Blood sugar CBC BUN Cr ELYTE SGOT SGPT

day 1 .Quinine gr X in 5%D/W 50 cc in 3 hr drip q 8hr

doxy 1*2 pc

day 2 .Quinine gr X in 5%D/W 50 cc in 3 hr drip q 8hr

day3 . Quinine gr X in 5%D/W 50 cc in 3 hr drip q 8hr จนกว่ากินได้ดี

day 4. Quinine 2*3 pc 42t

doxy 1*2 pc 14 day

10 hct 32 wbc 6200 plt 58000 N 58 L 33 Mo 7 hypo 1+ macro few micro few poly few ovalocyte 1+

9 hct 35 wbc 5900 plt 71000 hypo1+ macro few micro 2+ ovalo 1+

11 hct 30 wbc 2400 plt 28000 n 78 l 19 mo3 hypo 1 macro 1 mico few Malaria plasmodium falciparum

second line drug

Chloroquine phosphate 600mg base(1000mg salt) stat then 300mg base at 6, 24,48 hrs

Plasmodium vivax and Ovale

Chloroquine phosphate 600mg base(1000mg salt) oral stat then 300mg base at 6, 24,48 hrs

plus Primaquine phosphate 30 mg base oral qid 14 days

Pregnancy ห้าม tetra, doxy, primaquine

ส่วน quinine, chloroquine ได้

Malaria from CDCMalaria Home Diagnosis and Treatment

Treatment of Malaria (Guidelines For Clinicians

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Part 1: Reporting § Epidemiology § Evaluation and Diagnosis

Part 2: Treatment: General Approach § Treatment: Uncomplicated Malaria

Part 3: Alternatives for Pregnant Women § Treatment: Severe Malaria

Treatment Guidelines Table**

Treatment summary in tabular form (Updated March 6, 2007)

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