Malaria Treatment

Treatment of non-falciparum (P. vivax/ovale/malariae)- chloroquine, followed by primaquine (gametocide) for P. vivax

Falciparum: quinine or ACT

– iv treatment required for hyperparasetemia or e/o schizonts (need blood film) and/or complications (anemia (kids), coma/stupor, liver/renal failure, ARDS, hypoglycemia, bleeding, DIC)

– in UK, quinine po followed w second agent (doxy or fansidar)