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Table 2 Prescribing behaviour of clinicians for parasite-negative patients in different contexts, 2005-2010

From: "Test and treat" or presumptive treatment for malaria in high transmission situations? A reflection on the latest WHO guidelines

% of parasite-negative patients receiving any antimalarial

Total N of parasite-neg pts

% of parasite-negative patients receiving antibiotics

Diagnostic test

Country

Setting

Transmission level

% of patients positive for malaria

Year of study

Ref

4.0%

5162

35.6%

RDT

Tanzania

Rural Health Centres

high

51.5%

2008

[28]

9.0%

14777

 

Microscopy and RDT

Uganda

District hospital outpatients

high

45.0%

2010

[29]

11.7%

700

45.0%

RDT

Zanzibar

Primary Health Care

high

30.0%

2005

[21]

27.0%

247

50.0%

Microscopy

Tanzania

Hospital Outpatients

high

38.4%

2005

[22]

30.0%

218

50.0%

RDT

Tanzania

Hospital Outpatients

high

38.4%

2005

[22]

31.8%

4661

 

RDT

Uganda

Primary Health Care

Low - high

625%

2007

[39]

35.5%

183

 

RDT

Zambia

Outpatients, rural and urban

high

44.2%

2006

[30]

36.0%

392

 

RDT

Kenya

Government health facilities

Low - high

12%

2006

[40]

40.4%

141

55.3%

RDT

Tanzania

Hospital Outpatients

high

55.4%

2006

[41]

46.0%

1298

28.8%

RDT

Ghana

Rural health centres

high

26.2%

2007-2008

[20]

49.5%

1013

35.0%

RDT

Ghana

Rural health centres

high

37.7%

2007-2008

[20]

49.5%

1325

28.6%

Microscopy

Ghana

Rural health centres

high

26.9%

2007-2008

[20]

54.6%

416

50.0%

Microscopy

Tanzania

Hospital Outpatients

low

0.4%

2005

[22]

58.0%

401

50.0%

RDT

Tanzania

Hospital Outpatients

low

0.4%

2005

[22]

58.4%

77

 

Microscopy

Zambia

Outpatients, rural and urban

high

45.4%

2006

[30]

61.3%

68

87.1%

RDT/microscopy

Kenya

Outpatients > = 5 years

high

52.7%

2006

[42]

63.0%

367

50.0%

Microscopy

Tanzania

Hospital Outpatients

low-moderate

8.3%

2005

[22]

63.0%

386

50.0%

RDT

Tanzania

Hospital Outpatients

low-moderate

8.3%

2005

[22]

75.0%

52

84.6%

RDT/microscopy

Kenya

Outpatients < 5 yrs

high

50.0%

2006

[42]

79.8%

287

54.7%

RDT

Burkina Faso

Primary care, rural, dry season

low

28.2%

2006

[10]

82.6%

206

59.9%

RDT

Burkina Faso

Primary care, rural, rainy season

high

68.2%

2006

[10]