Cargando…

What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka

Following progressive reduction in confirmed cases of malaria from 2002 to 2007 (41,411 cases in 2002, 10,510 cases in 2003, 3,720 cases in 2004, 1,640 cases in 2005, 591 cases in 2006, and 198 cases in 2007). Sri Lanka entered the pre-elimination stage of malaria in 2008. One case of indigenous mal...

Descripción completa

Detalles Bibliográficos
Autores principales: Premaratna, Ranjan, Galappaththy, Gowrie, Chandrasena, Nilmini, Fernando, Roshanthi, Nawasiwatte, Thusha, de Silva, Nilanthi R, de Silva, H Janaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3216287/
https://www.ncbi.nlm.nih.gov/pubmed/21999636
http://dx.doi.org/10.1186/1475-2875-10-302
_version_ 1782216484958765056
author Premaratna, Ranjan
Galappaththy, Gowrie
Chandrasena, Nilmini
Fernando, Roshanthi
Nawasiwatte, Thusha
de Silva, Nilanthi R
de Silva, H Janaka
author_facet Premaratna, Ranjan
Galappaththy, Gowrie
Chandrasena, Nilmini
Fernando, Roshanthi
Nawasiwatte, Thusha
de Silva, Nilanthi R
de Silva, H Janaka
author_sort Premaratna, Ranjan
collection PubMed
description Following progressive reduction in confirmed cases of malaria from 2002 to 2007 (41,411 cases in 2002, 10,510 cases in 2003, 3,720 cases in 2004, 1,640 cases in 2005, 591 cases in 2006, and 198 cases in 2007). Sri Lanka entered the pre-elimination stage of malaria in 2008. One case of indigenous malaria and four other cases of imported malaria are highlighted here, as the only patients who presented to the Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka over the past eight years, in contrast to treating several patients a week about a decade ago. Therefore, at the eve of elimination of malaria from Sri Lanka, it is likely that the infection is mostly encountered among travellers who return from endemic areas, or among the military who serve in un-cleared areas of Northern Sri Lanka. They may act as potential sources of introducing malaria as until malaria eradication is carried out. These cases highlight that change in the symptomatology, forgetfulness regarding malaria as a cause of acute febrile illness and deterioration of the competency of microscopists as a consequence of the low disease incidence, which are all likely to contribute to the delay in the diagnosis. The importance regarding awareness of new malaria treatment regimens, treatment under direct observation, prompt notification of suspected or diagnosed cases of malaria and avoiding blind use of anti-malarials are among the other responsibilities expected of all clinicians who manage patients in countries reaching malaria elimination.
format Online
Article
Text
id pubmed-3216287
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-32162872011-11-16 What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka Premaratna, Ranjan Galappaththy, Gowrie Chandrasena, Nilmini Fernando, Roshanthi Nawasiwatte, Thusha de Silva, Nilanthi R de Silva, H Janaka Malar J Case Report Following progressive reduction in confirmed cases of malaria from 2002 to 2007 (41,411 cases in 2002, 10,510 cases in 2003, 3,720 cases in 2004, 1,640 cases in 2005, 591 cases in 2006, and 198 cases in 2007). Sri Lanka entered the pre-elimination stage of malaria in 2008. One case of indigenous malaria and four other cases of imported malaria are highlighted here, as the only patients who presented to the Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka over the past eight years, in contrast to treating several patients a week about a decade ago. Therefore, at the eve of elimination of malaria from Sri Lanka, it is likely that the infection is mostly encountered among travellers who return from endemic areas, or among the military who serve in un-cleared areas of Northern Sri Lanka. They may act as potential sources of introducing malaria as until malaria eradication is carried out. These cases highlight that change in the symptomatology, forgetfulness regarding malaria as a cause of acute febrile illness and deterioration of the competency of microscopists as a consequence of the low disease incidence, which are all likely to contribute to the delay in the diagnosis. The importance regarding awareness of new malaria treatment regimens, treatment under direct observation, prompt notification of suspected or diagnosed cases of malaria and avoiding blind use of anti-malarials are among the other responsibilities expected of all clinicians who manage patients in countries reaching malaria elimination. BioMed Central 2011-10-14 /pmc/articles/PMC3216287/ /pubmed/21999636 http://dx.doi.org/10.1186/1475-2875-10-302 Text en Copyright ©2011 Premaratna et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Premaratna, Ranjan
Galappaththy, Gowrie
Chandrasena, Nilmini
Fernando, Roshanthi
Nawasiwatte, Thusha
de Silva, Nilanthi R
de Silva, H Janaka
What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
title What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
title_full What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
title_fullStr What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
title_full_unstemmed What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
title_short What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
title_sort what clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in sri lanka
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3216287/
https://www.ncbi.nlm.nih.gov/pubmed/21999636
http://dx.doi.org/10.1186/1475-2875-10-302
work_keys_str_mv AT premaratnaranjan whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka
AT galappaththygowrie whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka
AT chandrasenanilmini whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka
AT fernandoroshanthi whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka
AT nawasiwattethusha whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka
AT desilvanilanthir whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka
AT desilvahjanaka whatclinicianswhopracticeincountriesreachingmalariaeliminationshouldbeawareoflessonslearntfromrecentexperienceinsrilanka