ArticleMalaria journal2015
Poor adherence to the malaria management protocol among health workers attending under-five year old febrile children at Omdurman Hospital, Sudan.
Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea.PloS one · 2016Trial
- Health workers' adherence to malaria case management protocols in Northern Sudan: a qualitative study.Malaria journal · 2024Article
- Fidelity of implementation of national guidelines on malaria diagnosis for children under-five years in Rivers State, Nigeria.Malaria journal · 2024Article
- Adherence to the test, treat and track strategy for malaria control among prescribers, Mfantseman Municipality, Central Region, Ghana.PloS one · 2023Article
- Knowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea.Malaria journal · 2021Article
- Healthcare Professional Preferences for Prescribing Artemisinins and Quinine for Malaria in Burundi.The East African health research journal · 2021Article
- Management of uncomplicated malaria among children under five years at public and private sector facilities in Mali.BMC public health · 2020Article
- Trends in health workers' compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010-2016.Malaria journal · 2020Article
- Effect of pre-consultation testing on clinicians' adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana.Malaria journal · 2020Article
- Extent of inappropriate prescription of artemisinin and anti-malarial injections to febrile outpatients, a cross-sectional analytic survey in the Greater Accra region, Ghana.Malaria journal · 2019Article
- Quality of Malaria Case Management and Reporting at Public Health Facilities in Six Health Districts in Guinea, 2018.The American journal of tropical medicine and hygiene · 2019Article
- Quality of malaria services offered in public health facilities in three provinces of Mozambique: a cross-sectional study.Malaria journal · 2019Article
- Failures in the case management of children with uncomplicated malaria in Bata district of Equatorial Guinea and associated factors.PloS one · 2019Article
- Article
- How Far Are We from Reaching Universal Malaria Testing of All Fever Cases?The American journal of tropical medicine and hygiene · 2018Article
- Evaluating malaria case management at public health facilities in two provinces in Angola.Malaria journal · 2017Article
- Prescription practices for malaria in Mozambique: poor adherence to the national protocols for malaria treatment in 22 public health facilities.Malaria journal · 2015Article
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6 authors.
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Abstract
backgroundIn spite of the World Health Organization recommendations for the treatment of malaria, febrile patients are still infrequently tested and erroneously treated for malaria. This study aimed to investigate the adherence to malaria national protocol for the management of malaria among under five years old children.
methodsA cross sectional hospital-based study was conducted during the period from September through December 2013 among febrile children below the age of five years attending the outpatient department of Omdurman Children Hospital, Sudan. Demographic, clinical and laboratory data [blood film, rapid diagnostic test (RDTs), haemoglobin, WBCs and chest X ray] and anti-malarials and/or antibiotics prescription were recorded.
resultsA total of 749 febrile children were enrolled. The mean (SD) age was 37.51 (41.6) months. Less than a half, (327, 43.7%) of children were investigated for malaria using microscopy (271, 82.9%), RDT (4, 1.2%) or both (52, 15.9%). Malaria was not investigated for more than a half, (422, 56.3%) however investigations targeting other causes of fever were requested for them. Malaria was positive in 72 (22%) of the 327 investigated children. Five (1.6%) out of 255 with negative malaria tests were treated by an anti-malarials. Quinine was the most frequently prescribed anti-malarials (65, 72.2%) then artemisinin-based combination therapy (ACT) (2, 27.8%). The majority of the 749 children (655, 87.4%) were prescribed an antibiotic.
conclusionThere is a poor adherence to malaria management protocol in Sudan among physicians treating children below five years of age. There was a high rate of antibiotic prescription needs.
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