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Hospitalize all patients who present with P. falciparum malaria.  |
- Hospitalize all patients, especially children, pregnant women, and the elderly, with malaria, regardless of their age or clinical status.
- Do not make assumptions about patients' immunity or clinical course based on their previous history of residing in a malaria-endemic area.
- Admit all patients with severe manifestations of malaria to an intensive care unit, where the following interventions are readily available:
- Continuous ECG monitoring during quinidine infusion
- Mechanical ventilation
- Continuous hemodynamic monitoring
- Hemodialysis
- Monitor pulmonary, renal, and neurologic status as for acutely ill patients in the ICU setting.
- Monitor serum glucose every 4 to 6 hours during quinidine infusion and with any change in neurologic status.
- Monitor parasitemias every 6 to 8 hours until negative.
| Background
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| Harry Tagbor, MBChB, DrPH, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Rick M. Fairhurst, MD, PhD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Thomas E. Wellems, MD, PhD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott. |
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2009 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Malaria
