Diagnosis and management of malaria in the intensive care unit  

作　　者：George Akafity Nicholas Kumi Joyce Ashong 

机构地区：[1]Department of Research,Monitoring,and Evaluation,Cape Coast Teaching Hospital,Cape Coast,Ghana [2]Intensive Care Unit,Department of Critical Care and Anesthesia,Cape Coast Teaching Hospital,Cape Coast [3]Department of Paediatrics and Child Health,Cape Coast Teaching Hospital,Cape Coast,Ghana

出　　处：《Journal of Intensive Medicine》2024年第1期3-15,共13页重症医学（英文）

摘　　要：Malaria is responsible for approximately three-quarters of a million deaths in humans globally each year.Most of the morbidity and mortality reported are from Sub-Saharan Africa and Asia,where the disease is endemic.In non-endemic areas,malaria is the most common cause of imported infection and is associated with significant mortality despite recent advancements and investments in elimination programs.Severe malaria often requires intensive care unit admission and can be complicated by cerebral malaria,respiratory distress,acute kidney injury,bleeding complications,and co-infection.Intensive care management includes prompt diagnosis and early initiation of effective antimalarial therapy,recognition of complications,and appropriate supportive care.However,the lack of diagnostic capacities due to limited advances in equipment,personnel,and infrastructure presents a challenge to the effective diagnosis and management of malaria.This article reviews the clinical classification,diagnosis,and management of malaria as relevant to critical care clinicians,highlighting the role of diagnostic capacity,treatment options,and supportive care.

关 键 词：MALARIA Intensive care unit Severe malaria Antimicrobial resistance ANTIMALARIALS Artemisinin-based combination therapy 

分 类 号：R531.3[医药卫生—内科学] R47[医药卫生—临床医学]