A 5-year-old child in a rural clinic in Guinea has a positive malaria RDT but the clinic has run out of ACT stock. The nearest referral hospital with ...

Question

A 5-year-old child in a rural clinic in Guinea has a positive malaria RDT but the clinic has run out of ACT stock. The nearest referral hospital with ACT is 4 hours away. What pre-referral treatment should be given?

Accepted Answer

Rectal artesunate 10 mg/kg as a single pre-referral dose, then immediate referral for definitive ACT treatment

Answer

Oral paracetamol only

Answer

Intramuscular chloroquine

Answer

No treatment; transfer immediately without any intervention

Answer

Oral quinine crushed and mixed with water

uk-dtmh MCQ (SBA): Pre-referral Rectal Artesunate

A 5-year-old child in a rural clinic in Guinea has a positive malaria RDT but the clinic has run out of ACT stock. The nearest referral hospital with ACT is 4 hours away. What pre-referral treatment should be given?