Health care provider practices in diagnosis and treatment of malaria in rural communities in Kisumu County, Kenya
In: Malaria Journal, Jg. 21 (2022), Heft 1, S. 1-11
Online
academicJournal
Zugriff:
Abstract Background Accurate malaria diagnosis and appropriate treatment at local health facilities are critical to reducing morbidity and human reservoir of infectious gametocytes. The current study assessed the accuracy of malaria diagnosis and treatment practices in three health care facilities in rural western Kenya. Methods The accuracy of malaria detection and treatment recommended compliance was monitored in two public and one private hospital from November 2019 through March 2020. Blood smears from febrile patients were examined by hospital laboratory technicians and re-examined by an expert microscopists thereafter subjected to real-time polymerase chain reaction (RT-PCR) for quality assurance. In addition, blood smears from patients diagnosed with malaria rapid diagnostic tests (RDT) and presumptively treated with anti-malarial were re-examined by an expert microscopist. Results A total of 1131 febrile outpatients were assessed for slide positivity (936), RDT (126) and presumptive diagnosis (69). The overall positivity rate for Plasmodium falciparum was 28% (257/936). The odds of slide positivity was higher in public hospitals, 30% (186/624, OR:1.44, 95% CI = 1.05–1.98, p
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Health care provider practices in diagnosis and treatment of malaria in rural communities in Kisumu County, Kenya
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Autor/in / Beteiligte Person: | Wilfred Ouma Otambo ; Olumeh, Julius O. ; Ochwedo, Kevin O. ; Magomere, Edwin O. ; Debrah, Isaiah ; Ouma, Collins ; Onyango, Patrick ; Atieli, Harrysone ; Mukabana, Wolfgang R. ; Wang, Chloe ; Lee, Ming-Chieh ; Githeko, Andrew K. ; Zhou, Guofa ; Githure, John ; Kazura, James ; Yan, Guiyun |
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Zeitschrift: | Malaria Journal, Jg. 21 (2022), Heft 1, S. 1-11 |
Veröffentlichung: | BMC, 2022 |
Medientyp: | academicJournal |
ISSN: | 1475-2875 (print) |
DOI: | 10.1186/s12936-022-04156-z |
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