In this video, you can know about Malaria and all types of plasmodium parasites that cause malaria fever and you can also seek knowledge about, 1. What is Malaria? 2. Cause of Malaria. 3. Types of Malaria. 4. Symptoms of Malaria. 5. Treatment of Malaria. 6. Prevention in Malaria. 7. Diet in Malaria. 8. Complicated and uncomplicate Malaria. To download the Powerpoint of this video click the link below. https://drive.google.com/open?id=1s8Ix3t8t3O-KYWVze2C8nm4QYIWJdFSXg_sTR78htiQ To learn from the video tutorial click the link below. https://youtu.be/Cu_QOm2--9E

1. Malaria
Education
and
Treatment
Presented by Dr. Zoraiz Haider

2. What is Malaria?
• It is a kind of,
• Fever with or without chills.
• Fever comes in alternate days,
• Then it is called Suspected Malaria.
• Caused by the plasmodium parasite enter
body by bite of Female Mosquito Anopheles.

4. Symptoms of Malaria?
• 1st sign & symptom of Malaria:
• Suddenly excessive shivering occur
• Chills usually happen
• High fever above 103F.
• Excessive sweating after 2-3 hours & then
temperature turns to normal and it mostly
happen at night on alternate days.
• Dry Cough

5. Later Symptoms of Malaria
• Headache
• Muscular Fatigue and pain
• Back pain
• Spleen Enlarge
• Nausea & Vomiting

7. Plasmodium falciparum Malaria
Symptoms
• also called Cerebral or Brain malaria.
• In this condition patient start to show severe
neurological complication and therefore also
have certain epileptic attacks.
• Also has systemic fever occur.

9. Cause of Malaria?
• Malaria is of different kinds and each type is
caused by the different type of Plasmodium
parasite. i.e
• 1. P. Vivax
• 2. P. falciparum
• 3. P. Malariae
• 4. P. Ovale

11. Diagnosis of Malaria
• Malaria can be diagnose by several test i.e,
• 1. Peripheral Blood smear test
• 2. Rapid malaria kit test
Physical Examination:
• Patient liver & spleen size enlarge during
examination
• Patient is also anemic if malaria is not treated
for long time.

12. • Suspected malaria confirm by Lab test:
• Rapid malaria kit test is mostly use b/c it give
result in 20mins to diagnose whether it is,
• 1. Plasmodium vivax
• 2. plasmodium falciparum OR
• 3. Mix malaria

13. If line appear in front
of,
C = No Malaria(-)
Pv = P. Vivax (-)
Pf = P. falciparum (-)
Rapid malaria kit test

14. Treatment of Malaria
• Plasmodium treatment depend upon the fact
that patient have which type of plasmodium.
P.vivax & P.falciparum is in India, pakistan and
Bangladesh
• While
• P.Malaria & P.Ovale is mostly in other
countries.

15. Malaria Types
on basis of Symptoms
• 1. Uncomplicated Malaria:
• Moderate symptoms
• 2. Complicated (Severe) Malaria:
• Severe symptoms

16. Plasmodium Vivax Malaria treatment
• 1st day: Chloroquine tab orally 10mg/kg
• 2nd day: Chloroquine tab orally 10mg/kg
• Then
• 3rd day: Chloroquine tab orally 5mg/kg
• Addtion to
• Primaquine tab 0.25mg/kg daily upto 14days

17. • Do not give Chloroquine tab in case of
P.falciparum malaria because they are resistant
to Chloroquine.
• And
• Do Not give primaquine in
• Infants
• Pregnant females and
• G6PD deficiency disorder patients (anemic
symptom).

20. Other symptomatic treatment
• If you have Fever:
• Paracetamol 500mg after breakfast , lunch and dinner
for about 3- 4 days.
• To treat Vomiting and Nausea:
• Domperidone 10mg (motilium) + pantoprazol 40mg
with empty stomach daily one time in 24hrs for about 7- 10
days.
• If Nausea and Vomiting not treat from above medicine then
take.
• Ondensetron 2mg/1ml IV or IM
when vomiting or nausea (Onden inj)

22. Plasmodium Falciparum Treatment
• Arceva tab oral:
• It contains (Artemether 80mg and Lumefantrine 480mg)
• 1st Day:
• 1st Dose: Take 1 Tab orally in the morning during breakfast
with milk.
• 2nd Dose: After 1st Dose take other 1 tab after 8 hours with
milk.
• 2nd Day:
• Then next 1-1 tab two times a day up to 2 days.
• Primaquine tab 0.75mg/kg orally as single dose.
• Take this tablet with Milk b/c patient do vomit if take with
water in 80- 90% cases.

25. If Arceva Tab is not available
• Then take Fansidar in place of Arceva tab.
• Malarest OR Fansidar:
• Sulphadoxine 500mg and Pyrimethamine 25mg (3
tabs) 20 : 1)
• If patient is Above 18 years then, Dose for Malaria:
{Sulphadoxine 500mg and Pyrimethamine 25mg(3
tabs)} Take 3 tabs in one day at same time.
• Also take,
• Artisunate tab 100mg once time in a day,
up to 3 days with it.

29. Uncomplicated P.Falciparum Treatment

30. Plasmodium vivax During pregnancy
• Then Chloroquine (Rosechin) is safe in all
trimesters But,
• Primaquine is not safe so patient have to
complete this course after pregnancy and
• Must take Primaquine 0.25mg/kg orally up to
14days to complete eradicate the malaria.

31. Plasmodium falciparum During
pregnancy
• If patient is in 1st trimester then can be given
quinine tablet but
• if patient in 2nd or 3rd trimester then can be
given
• Artisunate and combination of
• Sulphadoxine and pyrimethamine tab
(Fansidar) orally.

33. Mix Malaria patient
• In case of Mix malaria,
• 1st treat Plasmodium falsicaprum malaria
and then
• Treat Plasmodium vivax Malaria with
• Primaquine 0.25mg/kg
for 14days

34. Remember this
• In case of P.Vivax Malaria
• Dose of Primaquine is 0.25mg/kg for 14days.
• And
• In case of P.falciparum Malaria
• Dose of Primaquine is 0.75mg/kg orally as
single dose at 2nd day of treatment.

35. Diet in Malaria

37. Prevention in Malaria