Difference between revisions of "Malaria"

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==Individual at Risk==
 
==Individual at Risk==
−
Recipient
+
Recipient/ Donor (if not fully treated)
  
 
==Explanation of Condition==
 
==Explanation of Condition==
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==Guidance==
 
==Guidance==
−
'''a) Donors who have had malaria diagnosed in the past:'''
+
'''Resident''' – A donor who has ever been present in a malaria risk area (or areas), for a continuous period of 6 months or more (at any point in their lifetime)
−
If more than three years have passed since anti-malaria therapy has been completed and symptoms caused by malaria have resolved, accept.
 
−
If the donor (with a history of malaria) has revisited a malaria endemic area and at least four months have passed since return, accept.
 
  
−
A test for malaria antibody will be performed at medical.
+
'''Visitor''' – A donor who has visited or travelled through a malaria risk area (or areas) within the past 12 months
  
 +
'''Unexplained febrile illness (UFI)''' – A donor who had undiagnosed fever (that could have been malaria) while present in, or within four months of leaving, a malaria risk area.
  
−
'''b) Donors who have EVER had an undiagnosed fever that could have been malaria while in a malaria area or within four months of leaving a malaria endemic area:'''
+
'''Previous diagnosis of malaria''' – A donor who previously had a confirmed diagnosis of malaria, at any point in their lifetime.
−
If at least four months have passed since the donor returned from the malaria endemic area, or from the date of recovery from symptoms (undiagnosed fever) that may have been caused by malaria, whichever is later, accept.
 
−
NB. this may have to be increased to six months if the area is also identified as a risk area for T. cruzi or a tropical virus; the longest stipulated deferral period must be applied
 
  
−
A test for malaria antibody will be performed at medical.
+
For a list and maps of malaria risk areas, please refer to JPAC Geographical Disease Risk Index guidelines[https://www.transfusionguidelines.org/dsg/gdri/guidelines]
  
−
'''c) Donors who have EVER been resident in a malaria endemic area for six months or more:'''
+
'''MAT''': Malarial Antibody Test
−
If at least four months have passed since the date of the last potential exposure to malaria, accept.
 
  
−
A test for malaria antibody will be performed at medical.
+
'''NAT''': Nucleic Acid Test (for malaria)
 +
{| class="wikitable"
 +
|-
 +
! Status !!  !!  Action
 +
|-
 +
| Visitor || <4 months since return || Request MAT and NAT
 +
|- 
 +
| || 4-12 months since return || Request MAT
 +
|-
 +
|  || > 12 months since return || Accept, no test
 +
|-
 +
||
 +
|-
 +
| Resident || <4 months since last exposure || Request MAT and NAT
 +
|-
 +
|  || > 4 months since last exposure || Request MAT
 +
|-
 +
| |
 +
|-
 +
| UFI || <4 months since last exposure || Request MAT and NAT
 +
|-
 +
|  || > 4 months since last exposure|| Request MAT
 +
|-
 +
||
 +
|-
 +
| History of malaria || <4 months since recovery || Request MAT and NAT
 +
|-
 +
|  || > 4 months since recovery|| Request MAT
  
−
'''d) For all other donors:'''
 
−
-If at least four months and less than 12 months have passed since return from a malaria endemic area, accept.
 
−
-If travel to a malaria endemic area is more than 12 months prior to donation and the donor has never been diagnosed with malaria, has never had an undiagnosed fever while abroad or within four months of leaving a malaria endemic area and has not lived in a malaria endemic area for a continuous period of six months or more at any time of life, the donor can be accepted without the need for malaria antibody testing.
 
−
-If less than four months have passed, and if the donor has taken a full course of prophylaxis, the donor may proceed at the transplant centre's discretion. A malaria antibody test will be performed at medical. Inform Transplant Centre at VT
 
  
−
==Pseudonyms or Related Conditions==
+
|}
  
 +
==Some important questions to ask when collecting travel history==
 +
1) The exact dates and places (countries/ areas/ cities) that they travelled/ lived
 +
 +
2) Was the area rural or cities? What did they do: stayed in resort, travelled to rural areas, volunteer work, etc.
 +
 +
3) Any mosquito bites?
 +
 +
4) Did they take malaria prophylaxis? Where they advised to take malaria prophylaxis?
 +
 +
5) Where they well while travelling/ shortly after coming back?
 +
 +
==Some important questions to ask when collecting previous medical history==
 +
1) When were you diagnosed with malaria? Did you have any symptoms? If so, what symptoms did you have?
 +
 +
2) What treatment did you receive? Did you complete the treatment and given all clear from your doctor?
 +
 +
3) Did you have to be admitted to the hospital for treatment?
  
 
==Version==
 
==Version==
−
Version 2, Edition 1
+
Version 3, Edition 1
  
 
====Date of Last Update====
 
====Date of Last Update====
−
1 June 2016
+
07 December 2023

Latest revision as of 12:07, 18 December 2023

Acceptability at Recruitment

QUALIFIED

Acceptability at CT / Work-Up

QUALIFIED

Individual at Risk

Recipient/ Donor (if not fully treated)

Explanation of Condition

Parasitic infection transmitted by the bite of a female mosquito. Untreated, the condition may be rapidly fatal.

See also Malaria

Guidance

Resident – A donor who has ever been present in a malaria risk area (or areas), for a continuous period of 6 months or more (at any point in their lifetime)

Visitor – A donor who has visited or travelled through a malaria risk area (or areas) within the past 12 months

Unexplained febrile illness (UFI) – A donor who had undiagnosed fever (that could have been malaria) while present in, or within four months of leaving, a malaria risk area.

Previous diagnosis of malaria – A donor who previously had a confirmed diagnosis of malaria, at any point in their lifetime.

For a list and maps of malaria risk areas, please refer to JPAC Geographical Disease Risk Index guidelines[1]

MAT: Malarial Antibody Test

NAT: Nucleic Acid Test (for malaria)

Status Action
Visitor <4 months since return Request MAT and NAT
4-12 months since return Request MAT
> 12 months since return Accept, no test
Resident <4 months since last exposure Request MAT and NAT
> 4 months since last exposure Request MAT
UFI <4 months since last exposure Request MAT and NAT
> 4 months since last exposure Request MAT
History of malaria <4 months since recovery Request MAT and NAT
> 4 months since recovery Request MAT


Some important questions to ask when collecting travel history

1) The exact dates and places (countries/ areas/ cities) that they travelled/ lived

2) Was the area rural or cities? What did they do: stayed in resort, travelled to rural areas, volunteer work, etc.

3) Any mosquito bites?

4) Did they take malaria prophylaxis? Where they advised to take malaria prophylaxis?

5) Where they well while travelling/ shortly after coming back?

Some important questions to ask when collecting previous medical history

1) When were you diagnosed with malaria? Did you have any symptoms? If so, what symptoms did you have?

2) What treatment did you receive? Did you complete the treatment and given all clear from your doctor?

3) Did you have to be admitted to the hospital for treatment?

Version

Version 3, Edition 1

Date of Last Update

07 December 2023

Retrieved from "https://www.med-guidelines.org.uk/index.php?title=Malaria&oldid=1891"