Public Health England, Malaria Reference Laboratory, London School of Hygiene & Tropical Medicine, Keppel St, London, UK.
Travel Med Infect Dis. 2013 Jul-Aug;11(4):205-9. doi: 10.1016/j.tmaid.2013.05.001. Epub 2013 Jun 2.
The Malaria Reference Laboratory (MRL) provides a specialist advisory service for complex queries from healthcare professionals. This study was conducted to examine the types of queries that general practitioners and nurses ask around malaria prophylaxis, to identify issues which are not obvious from existing easily available sources.
We reviewed all the faxed requests received over a period of 6 months at the MRL.
There were a total of 608 queries (104 concerning children) relating to 450 travellers. 98% of requests were from general practice (GP or practice nurse). The most common enquiries were about travellers to multiple destinations (95/529, 17.96%), prolonged duration of travel (70/529, 13.23%), the immunosuppressed (38/529, 7.18%), potential drug interactions (69/529, 13.04%), pregnancy and conception (36, 6.81%). 79/529 queries related to patients with multiple conditions requiring expert advice from the MRL. 27% of the enquiries could have been answered by consulting the UK malaria prophylaxis guidelines available on the MRL site.
Most queries where practitioners requested help were not easily answered with existing guidelines. Pregnancy and epilepsy are areas where guidance needs strengthening. Difficulties for practitioners were multifactorial, it would be difficult to address all scenarios in guidelines without making them unwieldy.
疟疾参考实验室（MRL）为医疗保健专业人员提供复杂查询的专业咨询服务。本研究旨在检查全科医生和护士在疟疾预防方面提出的查询类型，以确定从现有易于获取的来源中无法明显看出的问题。
我们审查了 MRL 在 6 个月期间收到的所有传真请求。
共有 608 条与 450 名旅行者有关的查询（其中 104 条涉及儿童）。98%的请求来自全科医生（GP 或执业护士）。最常见的询问是关于前往多个目的地的旅行者（95/529，17.96%）、旅行时间延长（70/529，13.23%）、免疫功能低下者（38/529，7.18%）、潜在药物相互作用（69/529，13.04%）、怀孕和受孕（36，6.81%）。79/529 的查询涉及需要 MRL 提供专家建议的多种疾病的患者。529 条查询中有 27%可以通过咨询 MRL 网站上提供的英国疟疾预防指南来回答。
从业者请求帮助的大多数查询都无法通过现有指南轻松回答。怀孕和癫痫是需要加强指导的领域。从业者的困难是多方面的，如果不在指南中使其变得繁琐，就很难解决所有情况。
