Malaria prevalence and treatment of febrile patients at health facilities and medicine retailers in Cameroon

摘要: Objective  To investigate the quality of malaria case management in Cameroon 5 years after adoption artemisinin-based combination therapy (ACT). Treatment patterns were examined different types facility, and factors associated with being prescribed or receiving an ACT investigated. Methods  A cross-sectional cluster survey was conducted among individuals all ages who left public private health facilities medicine retailers reported seeking treatment for a fever. Prevalence determined by rapid diagnostic tests (RDTs) consenting patients attending retailers. Results  Among patients, 73% received antimalarial, 51% ACT. provided to significantly differed type facility: 65% at facilities, 55% 45% (P = 0.023). The odds febrile patient higher asked (OR = 24.1, P < 0.001), worker (OR = 1.88, P = 0.021), had not previously sought antimalarial illness (OR = 2.29, P = 0.001) (OR = 3.55) facility (OR = 1.99, P = 0.003). Malaria confirmed 29% 70% negative result antimalarial. Conclusions  could be improved. Symptomatic diagnosis is inefficient because two-thirds do have malaria. Government plans extend testing should promote rational use ACT; though, introduction needs accompanied updated clinical guidelines that provide clear guidance test results. Objectif:  Investiguer la qualite de prise en charge des cas paludisme au Cameroun cinq ans apres l’adoption therapie base combinaisons d’artemisinine Les modes traitement ont ete examines dans differents services et les facteurs associes fait d’etre prescrits ou recevoir un eteetudies. Methodes:  Une surveillance transversale grappes menee aupres personnes tous âges ayant declare avoir recherche pour fievre sante publics prives chez detaillants medicaments Cameroun. La prevalence du determinee par rapide (TDR) consentants, frequentant etablissements medicaments. Resultats:  individus recu antipaludique Le prodigue aux differait significativement selon le d’etablissement: publics, chances d’un prescrit etaient plus elevees qui demande agent (OR = 1.88; n’avaient pas deja maladie (OR = 2.29; service prive (OR = 1.99; confirme avec negatif antipaludique. Conclusions:  pourrait etre amelioree. symptomatique est inefficace puisque deux tiers febriles paludisme. gouvernement d’etendre devraient promouvoir l’utilisation rationnelle l’ACT, meme si l’introduction doit accompagnee mises jour directives cliniques fournissant orientations claires resultats negatif. Objetivo:  Investigar calidad del manejo casos Camerun cinco anos despues adopcion terapia combinacion con artemisinina (TCA). Se examinaron los patrones tratamiento diferentes clases instalaciones y se investigaron factores asociados el habersele prescrito o recibir TCA. Metodos:  realizo estudio croseccional entre individuos todas las edades que reportaron haber buscado para fiebre al salir sanitarias publicas privadas minoristas medicamentos Camerun. prevalencia determino mediante pruebas diagnosticas rapidas (PDRs) pacientes lo consintieron. Resultados:  prescribio dio antimalarico, TCA. El entregado diferia significativamente segun tipo instalacion: publicas, privadas, habia habian recibido TCA probabilidad paciente febril hubiese era mayor preguntaba por sido examinado trabajador sanitario previamente no antimalarico su enfermedad buscaba una centro publico privado confirmo presencia tenian resultado negativo fueron prescritos recibieron antimalarico. Conclusiones:  podria mejorar diagnostico sintomatico es ineficiente ya dos tercios Los planes gobierno ampliar distribucion deberian ir acompanados promocion uso racional TCA, acompanando introduccion unas guias clinicas revisadas donde provea guia clara resultados negativos.