Malaria

From Anthony Nolan Medical Guidelines
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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