Academic Journal
Health care provider practices in diagnosis and treatment of malaria in rural communities in Kisumu County, Kenya
| Title: | Health care provider practices in diagnosis and treatment of malaria in rural communities in Kisumu County, Kenya |
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| Authors: | Wilfred Ouma Otambo, Julius O. Olumeh, Kevin O. Ochwedo, Edwin O. Magomere, Isaiah Debrah, Collins Ouma, Patrick Onyango, Harrysone Atieli, Wolfgang R. Mukabana, Chloe Wang, Ming-Chieh Lee, Andrew K. Githeko, Guofa Zhou, John Githure, James Kazura, Guiyun Yan |
| Source: | Malaria Journal, Vol 21, Iss 1, Pp 1-11 (2022) |
| Publisher Information: | BMC, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Arctic medicine. Tropical medicine LCC:Infectious and parasitic diseases |
| Subject Terms: | Malaria, Blood smear, Kenya, Treatment guidelines, Misdiagnosis, Presumptive treatment, Arctic medicine. Tropical medicine, RC955-962, Infectious and parasitic diseases, RC109-216 |
| More Details: | Abstract Background Accurate malaria diagnosis and appropriate treatment at local health facilities are critical to reducing morbidity and human reservoir of infectious gametocytes. The current study assessed the accuracy of malaria diagnosis and treatment practices in three health care facilities in rural western Kenya. Methods The accuracy of malaria detection and treatment recommended compliance was monitored in two public and one private hospital from November 2019 through March 2020. Blood smears from febrile patients were examined by hospital laboratory technicians and re-examined by an expert microscopists thereafter subjected to real-time polymerase chain reaction (RT-PCR) for quality assurance. In addition, blood smears from patients diagnosed with malaria rapid diagnostic tests (RDT) and presumptively treated with anti-malarial were re-examined by an expert microscopist. Results A total of 1131 febrile outpatients were assessed for slide positivity (936), RDT (126) and presumptive diagnosis (69). The overall positivity rate for Plasmodium falciparum was 28% (257/936). The odds of slide positivity was higher in public hospitals, 30% (186/624, OR:1.44, 95% CI = 1.05–1.98, p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1475-2875 |
| Relation: | https://doaj.org/toc/1475-2875 |
| DOI: | 10.1186/s12936-022-04156-z |
| Access URL: | https://doaj.org/article/fbf0b7c7263749aca07b6be3ef8683fc |
| Accession Number: | edsdoj.fbf0b7c7263749aca07b6be3ef8683fc |
| Database: | Directory of Open Access Journals |
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| ISSN: | 14752875 |
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| DOI: | 10.1186/s12936-022-04156-z |
| Published in: | Malaria Journal |
| Language: | English |