| |
Fever is high: (> 39°C) |
Parasite-based diagnosis54 for all patients of all age groups |
Malaria is not confirmed: Give paracetamol, see table below. |
In low malaria transmission areas |
|
|
Malaria is confirmed: Give artemether/lumefantrine treatment see Fever on page 27(or follow national malaria treatment recommendations) |
| |
Fever is not high: (38-39°C) |
Parasite-based diagnosis53 for all patients of all age groups |
Malaria is not confirmed: Advise the mother to give more fluids. |
| |
|
|
Malaria is confirmed: Give artemether/lumefantrine treatment see Fever on page 27 (or follow national malaria treatment recommendations) |
| |
All cases of fever |
Parasite based diagnosis53 for all adult patients and children > 5 years |
Malaria is not confirmed: Give paracetamol, see table below. |
In high malaria transmission areas |
|
|
Malaria is confirmed: Give artemether/lumefantrine treatment see Fever on page 27 (or follow national malaria treatment recommendations) |
| |
|
For children < 5 years, to be treated on the basis of a clinical diagnosis of malaria |
Give artemether/lumefantrine treatment see Fever on page 27 (or follow national malaria treatment recommendations) |
Fever alone is not a reason to give an antibiotic, except in a young infant (age less than 2 months). Give first dose of an antibiotic and Refer URGENTLY to hospital. |
53 Department of Child and Adolescent Health and Development. The treatment of diarrhoea - a manual for physicians and other senior health workers. Geneva: World Health Organization; 2005.
54 By microscopy or by RDTs
PARACETAMOL Every six hours, for 1 to 3 days |
Age or Weight |
100 mg tab |
500 mg tab |
3 - 12 mths (6-<10 kg) |
½ - 1 |
|
1- < 5 yrs (10-<15 kg) |
1 - 2 |
|
5 - < 10 yrs (15-<25 kg) |
2 - 3 |
½ |
10-<15 yrs (25-<35 kg) |
|
1 |