Requests for malaria prevention advice to Public Health England, Malaria Reference Laboratory: A retrospective observational study

Gauri Godbole*, Marie Blaze, Valerie Smith, Christopher J.M. Whitty, Peter L. Chiodini

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background The Malaria Reference Laboratory (MRL) provides a specialist advisory service for complex queries from healthcare professionals. This study was conducted to examine the types of queries that general practitioners and nurses ask around malaria prophylaxis, to identify issues which are not obvious from existing easily available sources. Methods We reviewed all the faxed requests received over a period of 6 months at the MRL. Results There were a total of 608 queries (104 concerning children) relating to 450 travellers. 98% of requests were from general practice (GP or practice nurse). The most common enquiries were about travellers to multiple destinations (95/529, 17.96%), prolonged duration of travel (70/529, 13.23%), the immunosuppressed (38/529, 7.18%), potential drug interactions (69/529, 13.04%), pregnancy and conception (36, 6.81%). 79/529 queries related to patients with multiple conditions requiring expert advice from the MRL. 27% of the enquiries could have been answered by consulting the UK malaria prophylaxis guidelines available on the MRL site. Conclusion Most queries where practitioners requested help were not easily answered with existing guidelines. Pregnancy and epilepsy are areas where guidance needs strengthening. Difficulties for practitioners were multifactorial, it would be difficult to address all scenarios in guidelines without making them unwieldy.

Original languageEnglish
Pages (from-to)205-209
Number of pages5
JournalTravel Medicine and Infectious Disease
Volume11
Issue number4
DOIs
Publication statusPublished - Jul 2013

Bibliographical note

Funding Information:
Peter L Chiodini is supported by the UCL Hospitals Comprehensive Biomedical Research Centre Infection Theme.

Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.

Keywords

  • Malaria
  • Prophylaxis
  • Travellers

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