Village malaria workers for the community-based management of vivax malaria.

Village malaria workers for the community-based management of vivax malaria.
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DOI:
10.1016/j.lansea.2022.100128
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发表时间:
2023-02
期刊:
LANCET REGIONAL HEALTH - SOUTHEAST ASIA
影响因子:
--
通讯作者:
Dondorp, Arjen M.
Dondorp, Arjen M.
中科院分区:
其他
文献类型:
--
作者:
Adhikari, Bipin;Tripura, Rupam;Peto, Thomas J.;Callery, James J.;von Seidlein, Lorenz;Dysoley, Lek;Dondorp, Arjen M.

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在柬埔寨,疟疾病例正在朝着到2025年消除疟疾的目标迈进。间日疟很难消除,因为催眠虫可引起复发。伯氨喹,一种8-氨基喹啉,清除催眠虫,但需要测试葡萄糖-6-磷酸脱氢酶(G6 PD)缺乏症。柬埔寨最近实施了间日疟的例行伯氨喹治疗,乡村疟疾工作人员通过快速诊断测试诊断间日疟,并将患者转诊到保健中心进行G6 PD测试和进一步治疗。病人被转介回VMW监测不良症状和治疗依从性。本文探讨了如何VMW的作用可能是优化的社区为基础的管理间日疟。如果有足够的培训和监督,VMW的作用可能会扩大到包括G6 PD测试,使转介到健康中心成为多余。以社区为基础的间日疟管理可以扩大根治覆盖面,加速消灭间日疟。
In Cambodia, malaria cases are on a trajectory towards the goal of malaria elimination by 2025. Vivax malaria is difficult to eliminate because of hypnozoites that can cause relapse. Primaquine, an 8-aminoquinoline, clears hypnozoites but requires testing for glucose-6-phosphate dehydrogenase (G6PD) deficiency. Routine primaquine treatment of vivax malaria has recently been implemented in Cambodia in which Village Malaria Workers (VMWs) diagnose vivax malaria by rapid diagnostic test and refer patients to health centres for G6PD testing and further treatment. Patients are referred back to the VMWs for monitoring adverse symptoms and treatment adherence. This article explores how VMWs’ roles might be optimized for the community-based management of vivax malaria. With sufficient training and supervision, the role of VMWs might be expanded to include G6PD testing, making referral to the health centre superfluous. Community-based management of vivax malaria could increase the coverage of radical cure and accelerate vivax malaria elimination.
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