International Medical University, Kuala Lumpur 57000, Malaysia.
Trans R Soc Trop Med Hyg. 2012 Jun;106(6):331-2. doi: 10.1016/j.trstmh.2012.03.003. Epub 2012 Apr 26.
Studies have reported that only a small fraction of fever cases in malaria-endemic areas are actually caused by malaria. Much greater emphasis is now needed to step up attention to the appropriate management of nonmalarial acute undifferentiated febrile illness. There is an overlap at the start of clinical manifestations of different febrile illnesses which makes it difficult to adhere to the clinical guidelines. The development of rigorous guidelines based on high quality research and a consensus from the core group of content experts are needed. An innovative financing mechanism for universal access to such appropriate management should also be considered.
研究报告指出，在疟疾流行地区，实际上只有一小部分发热病例是由疟疾引起的。现在需要更加重视加强对非疟疾性急性未分化发热性疾病的适当管理。不同发热性疾病的临床表现开始时存在重叠，这使得难以遵循临床指南。需要制定基于高质量研究和核心内容专家组共识的严格指南。还应考虑为普及这种适当管理建立创新性的供资机制。
