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  • How often should one treat malaria
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    How long does malaria last without treatment

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  • General Approach to Treatment

    Overview

    Ideally malaria treatment should not be initiated until the diagnosis has been established by laboratory testing. "Presumptive treatment", i.e., without prior laboratory confirmation, should be reserved for extreme circumstances, such as strong clinical suspicion of severe disease in a setting where prompt laboratory diagnosis is not available.

    Once the diagnosis of malaria has been made, appropriate antimalarial treatment must be initiated immediately.

    The Malaria Treatment Tables can be used as a guide for treatment of malaria in the United States. The drug or drug combination recommended for each specific situation is listed, as well as the adult and pediatric doses. It is important to note that the base/salt conversions for antimalarials are a recurrent source of confusion and can contribute to treatment errors.

    In the treatment table, where appropriate, the antimalarial dose is expressed in base with the salt equivalency noted in parentheses.

    Treatment should be guided by the following four main factors:

    • Infecting Plasmodium spe

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