HOME >> MEDICINE >> NEWS
Diagnostic tests for malaria underused in Zambia

Despite improvements in the ability to diagnose malaria, these diagnostic tests are often underused in Zambia, and patients with negative test results are often prescribed anti-malaria medications, according to a study in the May 23/30 issue of JAMA, a theme issue on malaria.

The recent introduction of the effective but expensive artemisinin-based (a type of medication) combination therapy for malaria throughout Africa has led to renewed interest in improving the accuracy of diagnosis. The use of rapid antigen-detection diagnostic tests (RDTs) has been proposed as an approach for reducing overtreatment of malaria. The most widely used method to confirm a diagnosis of malaria is microscopy, according to background information in the article.

Davidson H. Hamer, M.D., of the Boston University School of Public Health, Boston, and colleagues from the Zambian Ministry of Health, the Kenyan Medical Research Institute and University of Oxford, assessed the association between use of microscopy and RDT and the prescription of antimalarials in Zambia. The researchers conducted a survey, carried out between March and May 2006, of 104 government and mission health facilities in four districts in Zambia. At each facility, data were collected during one working day on ill outpatients treated at the facility.

An equipment survey in the four districts revealed that 17 percent of the 104 health facilities had functional microscopy; 63 percent had RDTs. Overall, 73 percent of health facilities had at least 1 type of malaria diagnostics available.

Of the 1,717 patients (of all ages) with fever (suspected malaria), 27.8 percent treated in health facilities with malaria diagnostics were tested and 44.6 percent had positive test results. Of patients with negative blood smear results, 58.4 percent were prescribed an antimalarials, as were 35.5 percent of those with a negative RDT result. Most patients with fever (72.6 percent) did not have any
'"/>

Contact: Lisa Brown
617-414-1401
JAMA and Archives Journals
22-May-2007


Page: 1 2

Related medicine news :

1. UW licenses innovated cardiovascular software to VPDiagnostics
2. Diagnostic images show go-carts cause serious injuries to children
3. Proteome Systems signs agreement with Prince Henrys Institute for Ovarian Cancer Diagnostic Test
4. Diagnostic imaging in line with other hospital costs
5. Holograms make for better vision tests
6. Study tests oral insulin to prevent type 1 diabetes
7. UW study tests topical honey as a treatment for diabetic ulcers
8. Experimental flu vaccine appears promising in early tests
9. Light-based probe sees early cancers in first tests on human tissue
10. Study tests oral insulin to prevent type 1 diabetes
11. Rapid flu tests may reduce threat of antibiotic resistance

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/31/2018)... ... August 31, 2018 , ... Saturday, September 1st, 2018, Team Fastrax™ ... Iowa State Cyclones season opener game. At 7pm, the Cyclones will kick off against ... starts to play, Team Fastrax™ will jump in with their majestic 2,000 sq. ft. ...
(Date:8/31/2018)... ... August 31, 2018 , ... ... list. The company, a small molecule drug discovery and development firm based ... with a mission to develop a first-in-class therapeutic targeting rare immune-mediated blood ...
(Date:8/29/2018)... ... August 29, 2018 , ... ... module that allows independent pharmacies to start or enhance immunization programs within ... pharmacies are moving toward providing immunization programs in order to compete and ...
(Date:8/29/2018)... ... August 29, 2018 , ... The Vape Mall has published ... provide information on the similarities and differences between smoking and vaping. , With ... importantly, differences between vaping and smoking. To accurately inform consumers on both vaping ...
(Date:8/29/2018)... , ... August 29, 2018 , ... ... Pathways Memory Care at Villa Toscana when the facility was recognized for outstanding ... The proclamation was presented during an August 21st ceremony by United Healthcare’s Angie ...
Breaking Medicine News(10 mins):
(Date:9/13/2018)... ... , ... Dr. Rod J. Rohrich is pleased to announce that registration is ... experts from around the world, will take place from March 22nd and 23rd, 2019. ... anatomy to complex surgical procedures and detailed analysis of revision rhinoplasty . Formats ...
(Date:9/13/2018)... , ... September 13, 2018 , ... ... to know | 2018" list. , Hospitals and health systems rely on CIOs ... as well as support telehealth, data-gathering and cybersecurity initiatives. Those who lead community ...
(Date:9/12/2018)... ... September 13, 2018 , ... Safety ... Sept. 27, 2018 — 1:30 p.m. – 3:00 p.m. ET, http://info.fdanews.com/safety-reporting-in-global-clinical-trials ... by as much as fifty percent. , This can be due to ...
Breaking Medicine Technology:
Cached News: