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malaria prohylaxisFrom: DR. A.P. VAN DER COLF (rvdcolf@iwwn.com.na)Wed Nov 27 11:03:38 1996
we have got a lot of malaria - including a lot of chloroquine resistance. my advice: 1. do not go, do not go, do not go. 2. nigeria is known to have a very high incidence of resistance - mostly type3. 3. only chloroquine has been shown to be reasonably safe in 1st trimester, although not without complications. 4. malaria in pregnancy is a very serious disease - we are losing patients every day (mostly cerebral malaria and multi-organ failure) despite excellent care, including early ICU management. 5. if the patient really has to go - the most effective way of not contracting malaria is to make sure that you are not bitten by mosquitoes - excellent barrier methods have been developed over the last 2-3 years. contact me if you need further info. 6. be aware of the symptoms/signs of malaria - early treatment with the correct drugs and specific organ (esp. kidney) support is vital. riaan vd colf HOD: OBS & GYNE, WINDHOEK, NAMIBIA rvdcolf@iwwn.com.na
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