Community drug use practices in malaria in Cambodia
Contributor:
Resource Librarian Racha
Contributed: 23-Jan-2004
Author: Ros Seyha
Published: 29-Dec-2003
(1)Poor prescribing practices were demonstrated by providers in all settings, partly due to gaps in knowledge
Knowledge gaps included correct choice of drugs duration frequency dose .
(2) Prescribers widely recommended artesunate and quinine monotherapy for short durations (< 7 days)
Ineffective for ensuring treatment and may, theoretically, encourage drug resistance.
Polypharmacy with unnecessary or potentially dangerous drugs was common, especially in villages
Inappropriate use of injections and infusions increases risks and costs
(3)Government facilities had gaps
between government guidelines and
staff recommendations,particularly for severe malaria.
Explanation for the inconsistency between reported and actual behaviors may require additional study
