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Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field.
Malar J. 2008 Jul 14; 7:128.MJ

Abstract

BACKGROUND

Falciparum malaria remains a major occupational illness that accounts for several deaths per year and numerous lost working days among the expatriate population, working or living in high-risk malarious areas. Compliance to preventive strategies is poor in travellers, especially business travellers, expatriates and long-term travellers.

METHODS

In this cross-sectional, web-based study the adherence to and outcome of a preventive malaria programme on knowledge, attitudes and practices, including the practice of self-diagnosis and standby treatment (curative malaria kit, CMK) was evaluated in 2,350 non-immune expatriates, who had been working in highly malaria endemic areas.

RESULTS

One-third (N = 648) of these expatriates visited a doctor for malaria symptoms and almost half (29 of 68) of all hospitalizations were due to malaria. The mandatory malaria training for non-immunes was completed by 92% of those who visited or worked in a high risk malaria country; 70% of the respondents at risk also received the CMK. The malaria awareness training and CMK significantly increased malaria knowledge [relative risk (RR) of 1.5, 95%CI 1.2-2.1], attitudes and practices, including compliance to chemoprophylaxis [RR = 2.2, 95%CI 1.6-3.2]. Hospitalization for malaria tended to be reduced by the programme [RR = 0.4, 95%CI 0.1-1.1], albeit not significantly. Respondents who did not receive instructions on the rapid diagnostic test were two times [RR = 2.3, 95%CI 1.6-3.3] more likely to have difficulties. Those who did receive instructions adhered poorly to the timing of repeating the test. Moreover, 6% (31 of 513) of those with a negative test result were diagnosed with malaria by a local doctor. 77% (N = 393) of the respondents with a negative test result did not take curative medication. 57% (252 of 441) of the respondents who took the curative medication that was included in the kit did not have a positive self-test or clinical malaria diagnosis made by a doctor.

CONCLUSION

This survey demonstrated that a comprehensive programme targeting malaria prevention in expatriates can be effectively implemented and that it significantly increased malaria awareness.

Authors+Show Affiliations

Infectious Diseases, Leiden University Medical Center (LUMC), 2300 RC, Leiden, The Netherlands. a.h.e.roukens@lumc.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18620610

Citation

Roukens, Anna H., et al. "Performance of Self-diagnosis and Standby Treatment of Malaria in International Oilfield Service Employees in the Field." Malaria Journal, vol. 7, 2008, p. 128.
Roukens AH, Berg J, Barbey A, et al. Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field. Malar J. 2008;7:128.
Roukens, A. H., Berg, J., Barbey, A., & Visser, L. G. (2008). Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field. Malaria Journal, 7, 128. https://doi.org/10.1186/1475-2875-7-128
Roukens AH, et al. Performance of Self-diagnosis and Standby Treatment of Malaria in International Oilfield Service Employees in the Field. Malar J. 2008 Jul 14;7:128. PubMed PMID: 18620610.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field. AU - Roukens,Anna H, AU - Berg,Johannes, AU - Barbey,Alex, AU - Visser,Leo G, Y1 - 2008/07/14/ PY - 2008/03/31/received PY - 2008/07/14/accepted PY - 2008/7/16/pubmed PY - 2008/8/15/medline PY - 2008/7/16/entrez SP - 128 EP - 128 JF - Malaria journal JO - Malar. J. VL - 7 N2 - BACKGROUND: Falciparum malaria remains a major occupational illness that accounts for several deaths per year and numerous lost working days among the expatriate population, working or living in high-risk malarious areas. Compliance to preventive strategies is poor in travellers, especially business travellers, expatriates and long-term travellers. METHODS: In this cross-sectional, web-based study the adherence to and outcome of a preventive malaria programme on knowledge, attitudes and practices, including the practice of self-diagnosis and standby treatment (curative malaria kit, CMK) was evaluated in 2,350 non-immune expatriates, who had been working in highly malaria endemic areas. RESULTS: One-third (N = 648) of these expatriates visited a doctor for malaria symptoms and almost half (29 of 68) of all hospitalizations were due to malaria. The mandatory malaria training for non-immunes was completed by 92% of those who visited or worked in a high risk malaria country; 70% of the respondents at risk also received the CMK. The malaria awareness training and CMK significantly increased malaria knowledge [relative risk (RR) of 1.5, 95%CI 1.2-2.1], attitudes and practices, including compliance to chemoprophylaxis [RR = 2.2, 95%CI 1.6-3.2]. Hospitalization for malaria tended to be reduced by the programme [RR = 0.4, 95%CI 0.1-1.1], albeit not significantly. Respondents who did not receive instructions on the rapid diagnostic test were two times [RR = 2.3, 95%CI 1.6-3.3] more likely to have difficulties. Those who did receive instructions adhered poorly to the timing of repeating the test. Moreover, 6% (31 of 513) of those with a negative test result were diagnosed with malaria by a local doctor. 77% (N = 393) of the respondents with a negative test result did not take curative medication. 57% (252 of 441) of the respondents who took the curative medication that was included in the kit did not have a positive self-test or clinical malaria diagnosis made by a doctor. CONCLUSION: This survey demonstrated that a comprehensive programme targeting malaria prevention in expatriates can be effectively implemented and that it significantly increased malaria awareness. SN - 1475-2875 UR - https://www.unboundmedicine.com/medline/citation/18620610/Performance_of_self_diagnosis_and_standby_treatment_of_malaria_in_international_oilfield_service_employees_in_the_field_ L2 - https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-7-128 DB - PRIME DP - Unbound Medicine ER -