Voumard Rachel, Berthod Delphine, Rochat Laurence, D'Acremont Valérie, Genton Blaise, De Vallière Serge
Rev Med Suisse. 2016 May 4;12(517):885-8.
Malaria is declining in many tropical countries. This reduction challenges our usual preventive strategies. In moderate to low risk areas, the Swiss guidelines recommend a stand-by emergency treatment. Controversies between experts are numerous though. Professionals at the Travel Clinic in Lausanne has explored shared-decision making through three clinical studies. The first showed that travelers visiting moderate to low risk malaria areas prefer a standby emergency treatment rather than chemoprophylaxis. The second study investigates the use of rapid diagnostic tests by travelers. The third focuses on the prospects of tropical telemedicine. Involving the traveler into the debate is a priority, until a vaccine becomes available.
许多热带国家的疟疾发病率正在下降。这种下降对我们通常的预防策略提出了挑战。在中低风险地区，瑞士指南建议采取备用紧急治疗措施。然而，专家之间存在诸多争议。洛桑旅行诊所的专业人员通过三项临床研究探索了共同决策。第一项研究表明，前往中低风险疟疾地区的旅行者更喜欢备用紧急治疗而非化学预防。第二项研究调查了旅行者对快速诊断测试的使用情况。第三项研究聚焦于热带远程医疗的前景。在有疫苗可用之前，让旅行者参与到这场辩论中是当务之急。
