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Diagnosis & management of imported malaria in pregnant women in non-endemic countries
Indian Journal of Medical Research ( IF 2.7 ) Pub Date : 2020-05-01 , DOI: 10.4103/ijmr.ijmr_851_18
MariaGrazia Piccioni , Valentina Del Negro , Flaminia Vena , Carmela Capone , Lucia Merlino , JamesMatthaus Moore , Antonella Giancotti , MariaGrazia Porpora , Roberto Brunelli

Malaria in pregnancy is an important cause of maternal and foetal morbidity and is a potentially life-threatening infection. With ever-growing global exchanges, imported malaria in pregnancy is becoming an issue of concern in non-endemic countries where women, because of low immunity, have higher risk of severe diseases and death. Malaria in pregnancy is a dangerous condition which can be associated with important consequences for both mother and child such as stillbirth, low birth weight, maternal anaemia. In non-endemic-countries it is more frequent in its severe form which can lead to maternal death if not treated adequately. Specific anti-malarial interventions such as the use of repellents and insecticide treated bed nets in addition to chemoprophylaxis should be used by pregnant women if they are travelling to endemic areas. In cases of confirmed infection, specific treatment regimens vary according to gestational age and the presence of complications. Malaria should be considered a global health problem, increasingly involving western countries. Clinicians all over the world need to be prepared for this emerging disease both in terms of prevention and therapy.

中文翻译:

非流行国家孕妇的进口性疟疾的诊断和管理

怀孕期间的疟疾是造成孕产妇和胎儿发病的重要原因,并且可能威胁生命。随着全球交流的不断增长,怀孕的进口疟疾正成为非流行国家关注的问题,在这些国家中,妇女由于免疫力低下而罹患严重疾病和死亡的风险更高。怀孕期间的疟疾是一种危险状况,可能对母婴造成重要后果,例如死产,低出生体重,孕妇贫血。在非流行国家中,其严重形式更为常见,如果治疗不当,可能导致孕产妇死亡。如果孕妇前往流行地区,应使用特殊的抗疟疾干预措施,例如除化学预防外还使用驱虫剂和经杀虫剂处理过的蚊帐。在确诊感染的情况下,具体治疗方案会根据胎龄和并发症的存在而有所不同。疟疾应被视为一个全球性的健康问题,越来越多的西方国家参与其中。在预防和治疗方面,全世界的临床医生都需要为这种新兴疾病做好准备。
更新日期:2020-05-01
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