MALARIAtreatment

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In endemic areas, the World Health Organization recommends that treatment be started within 24 hours after the first symptoms appear. Treatment of patients with [|uncomplicated malaria] can be conducted on an ambulatory basis (without hospitalization) but patients with [|severe malaria] should be hospitalized if possible.

**Most drugs used in treatment are active against the parasite forms in the blood (the form that causes disease) and include:** · chloroquine · sulfadoxine-pyrimethamine · mefloquine · atovaquone-proguanil · quinine · doxycycline · <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">artemisin derivatives (not licensed for use in the United States, but often found overseas) <span style="font-size: 14pt; font-family: 'Century Gothic'; text-align: left; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; msofareastfontfamily: 굴림; msobidifontfamily: Arial; msofontkerning: 0pt;">**How to treat a patient with malaria depends on:** <span style="font-family: Symbol; mso-list: Ignore; msofareastfontfamily: Symbol; msobidifontfamily: Symbol; msofontkerning: 0pt; msobidifontsize: 14.0pt; msolist: Ignore;">· <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">The type (species) of the infecting parasite <span style="font-family: Symbol; mso-list: Ignore; msofareastfontfamily: Symbol; msobidifontfamily: Symbol; msofontkerning: 0pt; msobidifontsize: 14.0pt; msolist: Ignore;">· <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">The area where the infection was acquired and its [|drug-resistance] status <span style="font-family: Symbol; mso-list: Ignore; msofareastfontfamily: Symbol; msobidifontfamily: Symbol; msofontkerning: 0pt; msobidifontsize: 14.0pt; msolist: Ignore;">· <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">The clinical status of the patient <span style="font-family: Symbol; mso-list: Ignore; msofareastfontfamily: Symbol; msobidifontfamily: Symbol; msofontkerning: 0pt; msobidifontsize: 14.0pt; msolist: Ignore;">· <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">Any accompanying illness or condition <span style="font-family: Symbol; mso-list: Ignore; msofareastfontfamily: Symbol; msobidifontfamily: Symbol; msofontkerning: 0pt; msobidifontsize: 14.0pt; msolist: Ignore;">· <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">Pregnancy <span style="font-family: Symbol; mso-list: Ignore; msofareastfontfamily: Symbol; msobidifontfamily: Symbol; msofontkerning: 0pt; msobidifontsize: 14.0pt; msolist: Ignore;">· <span style="font-size: 14pt; font-family: 'Century Gothic'; mso-fareast-font-family: 굴림; mso-bidi-font-family: Arial; mso-font-kerning: 0pt;">Drug allergies, or other medications taken by the patient

Q: Give three names of drug that help the treatment of malaria