ABSTRACT
Analyzing 66 cases of imported malaria, recorded among the patients treated at Moscow Infective Clinical Hospital No. 1 has indicated that despite its typical clinical picture and specific epidemiological history, the prehospital diagnosis of tropical and vivax malaria was correctly made in 20 and 22% of patients, respectively. As few as 3 patients had chemoprophylaxis on an individual basis during their stay in the focus, but they did not comply with the regimen recommended. The severity of the disease, in non-immunized patients with tropical malaria, in particular, is related to the time of admittance (diagnosis) and to that of the initiation of adequate specific treatment.
Subject(s)
Malaria/diagnosis , Malaria/drug therapy , Travel , Adolescent , Adult , Female , Humans , Malaria/epidemiology , Male , Russia/epidemiologyABSTRACT
The paper gives a review of present-day drugs effective against malaria, provides the result of a clinical trial of melloquine, fansidar, fansimeph, chlorochine in diverse malaria forms. The choice of the drug should be individual, basing on the disease severity, form and resistance of tropical malaria causative agent.
Subject(s)
Antimalarials/therapeutic use , Malaria/drug therapy , Drug Resistance , Humans , Malaria/complications , Malaria/diagnosisABSTRACT
The authors treated helminth infestation in 856 patients who have arrived to Russia from tropical countries. Early diagnosis and treatment of helminthiasis in such patients reduce their susceptibility to other diseases in the course of relevant adaptation to new climatic conditions. The authors point to high efficacy of the drugs mebendazol, albendazol, medaminol (against ancylostomiasis, ascariasis, trichocephaliasis), praziquantel (against schistosomiasis and hymenolepiasis).