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Učinkovitost protimalarične kemoprofilakse - analiza obolevanja študentov medicine Sekcije za tropsko in potovalno medicino Medicinske fakultete v Ljubljani na humanitarnih odpravah v trope v letih 1990-2005 = Efficiency of antimalarial chemoprophylaxis - an analysis of malaria morbidityamong members of Section for tropical medicine, Medical faculty of Ljubljana on electives in third world countries 1990-2005Bokal, Urška ; Skarlovnik, Ajda ; Pikelj, FranjoBackground The aim of this study was to assess the incidence of malaria among the homogenous population of medical students and young doctors, specifically educated in tropical medicine, travelling ... to the third world countries for electives of two to four months' duration with professional and humanitarian purposes. We focused on the efficiency of currently widely reccomended antimalarial chemoprophylaxis, especially mefloquine. Methods The data were collected by a questionnaire, analysis of medical documentation and medical examinations of elective participants after their return. Malaria was diagnosed either microscopically or on basis of typical clinical features, followed by marked improvement after antimalarial therapy. Results From 106 expedition members that were adherent to regular exposure prophylactic measures as well as recommended chemoprophylaxis, 28 (26%) reported malaria. 23 (82%) among them visited Africa and 23 (82%) were taking mefloquine for chemoprophylaxis. None suffered from complicated form of disease. No statistically significant differences in malaria morbidity with reference to travel destination, gender or weather season were found. Conclusions High incidence of malaria in our population could be partially explained by a relatively long period of travel in malaria hyperendemic regions. We carefullyexamined thepossibility of erroneous diagnosis of malaria as well as probable increase in mefloquine resistance in hyperendemic rural regions of Africa. Absence of complicated malaria proves the benefits of complete adherence to antimalarial exposure and chemoprophylaxis.Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 76, št. 5, maj 2007, str. 297-301)Type of material - article, component partPublish date - 2007Language - slovenianCOBISS.SI-ID - 22711257
Author
Bokal, Urška |
Skarlovnik, Ajda |
Pikelj, Franjo
Topics
Tropical Climate |
Travel |
Malaria |
Diagnosis |
Prevention And Control |
Antimalarials |
Chemoprevention |
Adult |
Students, Medical |
Antimalariki |
Kemoprevencija |
Malarija |
Potovanje |
Tropska klima |
Odrasli |
Študenti medicine
source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 76, št. 5, maj 2007, str. 297-301)
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Database name | Field | Year |
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Bokal, Urška | 50829 |
Skarlovnik, Ajda | 33611 |
Pikelj, Franjo | 13297 |
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