Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field
Abstract Background Falciparum malaria remains a major occupational illness that accounts for several deaths per year and numerous lost working days among the expatriate population, working or living in high-risk malarious areas. Compliance to preventive strategies is poor in travellers, especially...
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ftdoajarticles:oai:doaj.org/article:acf1964697ca4c98aa10fe665f2dd8e2 2023-05-15T15:18:37+02:00 Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field Barbey Alex Berg Johannes Roukens Anna H Visser Leo G 2008-07-01T00:00:00Z https://doi.org/10.1186/1475-2875-7-128 https://doaj.org/article/acf1964697ca4c98aa10fe665f2dd8e2 EN eng BMC http://www.malariajournal.com/content/7/1/128 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-7-128 1475-2875 https://doaj.org/article/acf1964697ca4c98aa10fe665f2dd8e2 Malaria Journal, Vol 7, Iss 1, p 128 (2008) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2008 ftdoajarticles https://doi.org/10.1186/1475-2875-7-128 2022-12-31T02:33:09Z Abstract Background Falciparum malaria remains a major occupational illness that accounts for several deaths per year and numerous lost working days among the expatriate population, working or living in high-risk malarious areas. Compliance to preventive strategies is poor in travellers, especially business travellers, expatriates and long-term travellers. Methods In this cross-sectional, web-based study the adherence to and outcome of a preventive malaria programme on knowledge, attitudes and practices, including the practice of self-diagnosis and standby treatment (curative malaria kit, CMK) was evaluated in 2,350 non-immune expatriates, who had been working in highly malaria endemic areas. Results One-third (N = 648) of these expatriates visited a doctor for malaria symptoms and almost half (29 of 68) of all hospitalizations were due to malaria. The mandatory malaria training for non-immunes was completed by 92% of those who visited or worked in a high risk malaria country; 70% of the respondents at risk also received the CMK. The malaria awareness training and CMK significantly increased malaria knowledge [relative risk (RR) of 1.5, 95%CI 1.2–2.1], attitudes and practices, including compliance to chemoprophylaxis [RR = 2.2, 95%CI 1.6–3.2]. Hospitalization for malaria tended to be reduced by the programme [RR = 0.4, 95%CI 0.1–1.1], albeit not significantly. Respondents who did not receive instructions on the rapid diagnostic test were two times [RR = 2.3, 95%CI 1.6–3.3] more likely to have difficulties. Those who did receive instructions adhered poorly to the timing of repeating the test. Moreover, 6% (31 of 513) of those with a negative test result were diagnosed with malaria by a local doctor. 77% (N = 393) of the respondents with a negative test result did not take curative medication. 57% (252 of 441) of the respondents who took the curative medication that was included in the kit did not have a positive self-test or clinical malaria diagnosis made by a doctor. Conclusion This survey demonstrated that a ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 7 1 128 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
topic |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Barbey Alex Berg Johannes Roukens Anna H Visser Leo G Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Falciparum malaria remains a major occupational illness that accounts for several deaths per year and numerous lost working days among the expatriate population, working or living in high-risk malarious areas. Compliance to preventive strategies is poor in travellers, especially business travellers, expatriates and long-term travellers. Methods In this cross-sectional, web-based study the adherence to and outcome of a preventive malaria programme on knowledge, attitudes and practices, including the practice of self-diagnosis and standby treatment (curative malaria kit, CMK) was evaluated in 2,350 non-immune expatriates, who had been working in highly malaria endemic areas. Results One-third (N = 648) of these expatriates visited a doctor for malaria symptoms and almost half (29 of 68) of all hospitalizations were due to malaria. The mandatory malaria training for non-immunes was completed by 92% of those who visited or worked in a high risk malaria country; 70% of the respondents at risk also received the CMK. The malaria awareness training and CMK significantly increased malaria knowledge [relative risk (RR) of 1.5, 95%CI 1.2–2.1], attitudes and practices, including compliance to chemoprophylaxis [RR = 2.2, 95%CI 1.6–3.2]. Hospitalization for malaria tended to be reduced by the programme [RR = 0.4, 95%CI 0.1–1.1], albeit not significantly. Respondents who did not receive instructions on the rapid diagnostic test were two times [RR = 2.3, 95%CI 1.6–3.3] more likely to have difficulties. Those who did receive instructions adhered poorly to the timing of repeating the test. Moreover, 6% (31 of 513) of those with a negative test result were diagnosed with malaria by a local doctor. 77% (N = 393) of the respondents with a negative test result did not take curative medication. 57% (252 of 441) of the respondents who took the curative medication that was included in the kit did not have a positive self-test or clinical malaria diagnosis made by a doctor. Conclusion This survey demonstrated that a ... |
format |
Article in Journal/Newspaper |
author |
Barbey Alex Berg Johannes Roukens Anna H Visser Leo G |
author_facet |
Barbey Alex Berg Johannes Roukens Anna H Visser Leo G |
author_sort |
Barbey Alex |
title |
Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
title_short |
Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
title_full |
Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
title_fullStr |
Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
title_full_unstemmed |
Performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
title_sort |
performance of self-diagnosis and standby treatment of malaria in international oilfield service employees in the field |
publisher |
BMC |
publishDate |
2008 |
url |
https://doi.org/10.1186/1475-2875-7-128 https://doaj.org/article/acf1964697ca4c98aa10fe665f2dd8e2 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 7, Iss 1, p 128 (2008) |
op_relation |
http://www.malariajournal.com/content/7/1/128 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-7-128 1475-2875 https://doaj.org/article/acf1964697ca4c98aa10fe665f2dd8e2 |
op_doi |
https://doi.org/10.1186/1475-2875-7-128 |
container_title |
Malaria Journal |
container_volume |
7 |
container_issue |
1 |
container_start_page |
128 |
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1766348806035603456 |