a5.docx - In order to treat non-malaria febrile illness...

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In order to treat non-malaria febrile illness properly (keeping in mind that patients may have malaria concurrently with another disease, especially in highly endemic areas), the pathogens that cause febrile disease must be known. Even if the agent is not identi-ed, knowing the category of pathogen (parasitic, bacterial or viral) is useful for deciding on treatment. e incidence of disease and the prevalence of various pathogens vary by factors such as location, season and urban or rural setting. e age and immunity of patients and their access to dierent levels of care (reecting progression to severe disease) also contribute to the distribution of diseases. Although some similarities are seen across settings, more studies are needed in order to increase the geographical speci-city of recommendations. Studies conducted so far have shown that most (50–75%) febrile episodes in children under 5 years of age presenting at outpatient clinics are

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