A 4-year-old child in a rural health centre in Burkina Faso presents with fever, convulsions, and coma (Blantyre Coma Score 2). A malaria RDT is posit...

Question

A 4-year-old child in a rural health centre in Burkina Faso presents with fever, convulsions, and coma (Blantyre Coma Score 2). A malaria RDT is positive for P. falciparum. Intravenous access cannot be obtained. What is the most appropriate initial treatment according to WHO guidelines?

Accepted Answer

Rectal artesunate as pre-referral treatment

Answer

Oral artemether/lumefantrine via nasogastric tube

Answer

Intramuscular artesunate

Answer

Intramuscular quinine

Answer

Rectal quinine

uk-dtmh MCQ (SBA): Severe Malaria Pre-referral Treatment

A 4-year-old child in a rural health centre in Burkina Faso presents with fever, convulsions, and coma (Blantyre Coma Score 2). A malaria RDT is positive for P. falciparum. Intravenous access cannot be obtained. What is the most appropriate initial treatment according to WHO guidelines?