A 4-year-old child in a remote clinic in northern Uganda has fever, repeated convulsions and a positive malaria rapid test. Intravenous access cannot

Question

A 4-year-old child in a remote clinic in northern Uganda has fever, repeated convulsions and a positive malaria rapid test. Intravenous access cannot be established and transfer to hospital will take 4 hours. What is the most appropriate treatment?

Accepted Answer

Rectal artesunate before urgent referral

Answer

Oral chloroquine while awaiting transfer

Answer

Single-dose primaquine before referral

Answer

Delay antimalarial therapy until admission

Answer

Intramuscular benzathine penicillin and observation

Pre-referral severe malaria — DTM&H MCQ

A 4-year-old child in a remote clinic in northern Uganda has fever, repeated convulsions and a positive malaria rapid test. Intravenous access cannot be established and transfer to hospital will take 4 hours. What is the most appropriate treatment?