Malaria treatment
resuscitation as normal
...
severe disease
- Parenteral: artesunate
- PO: artemether/lumefantrine, or atovaquone/proguanil (Malarone), or quinine + doxycycline/clindamycin
in pregnancy
- Parenteral: artesunate
- PO: quinine + clindamycin
uncomplicated disease
- chloroquine/hydroxychloroquine
- If resistant region: artemether/lumefantrine or Malarone
prophylaxis
- mefloquine (18d before – 4/52 after)
- avoid if history or FHx of psychosis, epilepsy
- may be pregnant within 3/12 of last dose
- Doxycycline (1d before-4/52 after)
- Malarone atovaquone+proguanil (OD 1d before - 7d after)