Malaria Epidemiology and Economics in a Pharmacist-Managed International Travel Clinic

With high rates of travel and low adherence to malaria prophylaxis, targeting educational efforts to high‐risk travelers is vital. We assessed risk factors for acquiring malaria, and resource use and outcomes of these patients in a managed care environment. Patients were identified from January 1, 1...

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Bibliographic Details
Published in:Pharmacotherapy 1999-12, Vol.19 (12), p.1363-1368
Main Authors: McNicholl, Ian R., Raebel, Marsha A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antimalarials - economics
Antiparasitic agents
Biological and medical sciences
Colorado
Data Collection
Drug Costs
Economics, Hospital
Female
Global Health
Health Maintenance Organizations
Humans
Malaria - drug therapy
Malaria - economics
Malaria - epidemiology
Male
Medical sciences
Middle Aged
Northwestern United States
Pharmacists
Pharmacology. Drug treatments
Risk Factors
Seasons
Travel
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Summary:With high rates of travel and low adherence to malaria prophylaxis, targeting educational efforts to high‐risk travelers is vital. We assessed risk factors for acquiring malaria, and resource use and outcomes of these patients in a managed care environment. Patients were identified from January 1, 1994, to December 31, 1997, using microbiology and pharmacy databases, chart reviews, and interviews. Sixteen patients acquired malaria during the study, although only 50% contacted the travel clinic. Only 31% (5) of them had documented adherence. Fifty percent were hospitalized at a cost of $3881/patient. Travelers at greatest risk for nonadherence appear to be expatriates and those visiting Africa. Providers should target these groups with more intensive counseling in an effort to improve therapy adherence and reduce the risk for malaria.
ISSN:0277-0008
1875-9114
DOI:10.1592/phco.19.18.1363.30899