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CASE MANAGEMENT
OF MALARIA
AYUSH GARG
APPROCHES & STRATEGIES OF MALARIA BASED ON
• Epidemiological consideration
• Adverse effect on health
• Economy
• Technical feasibility
• Functional resource
• Human resource
• Community participation
NATIONAL VECTOR BORNE DISEASE CONTROL
PROGRAMME
• 2007-2012
• 2012-2017
• recent plan 2017-2022
STRATEGIES FOR PREVENTION &CONTROL
A. Surveillance and case management
1 case detection[active or passive]
2 early diagnosis and complete treatment
3 sentinal surveillance
B. integrated vector management
1 indoor residual spray
2 insecticide treated bed net
3 antilarval measures including source reduction
C. epidemic preparedness and early response
D supportive intervention
1. capacity building
2. behavioural change communication
3. intersectoral collaboration
4. monitoring and evaluation
5. operational research and applied field research
GUIDELINES FOR DIAGNOSIS & TREATMENT OF
MALARIA IN INDIA
B.WHERE MICROSCOPY IS NOT AVAILABLE WITHIN 24
HOURS AND MONOVALENT RDT IS USED
WHERE MICROSCOPY RESULT IS NOT AVAILABLE IN
24 HRS AND BIVALENT RDT IS USED
TREATMENT FOR VIVAX MALARIA
• DRUG SCHEDULE FOR TREATMENT
• choroquine: 25 mg/kg body weight divided over three days
• 10mg/kg on day 1
• 10mg/kg on day 2
• 5 mg/kg on day 3
• primaquine: o.25mg/kg body weight daily for 14 day
• primaquine is C/I in infants,pregnant women,and individual with G6PD def.
• 14 day regimen should be given under supervision
TREATMENT FOR FALCIPARUM MALARIA
AGE GROUP 1ST DAYS (IN MG)
AS SP
2ND DAY (IN MG)
AS PQ
3RD DAY (IN MG)
AS
0-1
PINK BLISTERS
25
250+12.5
25 NIL 25
1-4
YELLOW BLISTERS
50 500+25 50 7.5 50
5-8
GREEN BLISTERS
100
750+37.5
100 7.5 100
9-14
RED BLISTERS
150 500+25 150 7.5 150
15& ABOVE
WHITE BLISTERS
200
750+37.5
200 7.5 200
NORTH EASTERN STATES
TREATMENT OF MIXED
INFECTION(P.VIVAX+P.FALCIPARUM)
THANK YOU

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Case management of malaria

  • 2. APPROCHES & STRATEGIES OF MALARIA BASED ON • Epidemiological consideration • Adverse effect on health • Economy • Technical feasibility • Functional resource • Human resource • Community participation
  • 3. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME • 2007-2012 • 2012-2017 • recent plan 2017-2022
  • 4. STRATEGIES FOR PREVENTION &CONTROL A. Surveillance and case management 1 case detection[active or passive] 2 early diagnosis and complete treatment 3 sentinal surveillance B. integrated vector management 1 indoor residual spray 2 insecticide treated bed net 3 antilarval measures including source reduction C. epidemic preparedness and early response
  • 5. D supportive intervention 1. capacity building 2. behavioural change communication 3. intersectoral collaboration 4. monitoring and evaluation 5. operational research and applied field research
  • 6. GUIDELINES FOR DIAGNOSIS & TREATMENT OF MALARIA IN INDIA
  • 7. B.WHERE MICROSCOPY IS NOT AVAILABLE WITHIN 24 HOURS AND MONOVALENT RDT IS USED
  • 8. WHERE MICROSCOPY RESULT IS NOT AVAILABLE IN 24 HRS AND BIVALENT RDT IS USED
  • 9. TREATMENT FOR VIVAX MALARIA • DRUG SCHEDULE FOR TREATMENT • choroquine: 25 mg/kg body weight divided over three days • 10mg/kg on day 1 • 10mg/kg on day 2 • 5 mg/kg on day 3 • primaquine: o.25mg/kg body weight daily for 14 day • primaquine is C/I in infants,pregnant women,and individual with G6PD def. • 14 day regimen should be given under supervision
  • 10. TREATMENT FOR FALCIPARUM MALARIA AGE GROUP 1ST DAYS (IN MG) AS SP 2ND DAY (IN MG) AS PQ 3RD DAY (IN MG) AS 0-1 PINK BLISTERS 25 250+12.5 25 NIL 25 1-4 YELLOW BLISTERS 50 500+25 50 7.5 50 5-8 GREEN BLISTERS 100 750+37.5 100 7.5 100 9-14 RED BLISTERS 150 500+25 150 7.5 150 15& ABOVE WHITE BLISTERS 200 750+37.5 200 7.5 200