Current evidence and future of automated erythrocyte exchange in the treatment of severe malaria.
Wien Klin Wochenschr
; 124 Suppl 3: 23-6, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-23064860
Despite the administration of antimalarial treatment, severe malaria still has a high mortality rate. Since overall survival is associated with total parasite biomass, whole blood exchange (e.g. blood exchange transfusions) has been proposed as a potential method to rapidly reduce peripheral parasitaemia. Automated red blood cell exchange has been advocated as a physical method to remove parasites. Compared to exchange transfusion, automated red blood exchange may avoid the risk of volume alterations and haemodynamic distress. Since 1984, there have been 37 published cases in which automated red blood cell exchange was used as an adjunctive treatment in severe malaria caused by Plasmodium falciparum. This short review summarizes current evidence and discusses problems, challenges and goals for future studies and research in order to assess the clinical benefit of automated erythrocyte exchange in severe malaria cases.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transfusão Total
/
Transfusão de Eritrócitos
/
Medicina Baseada em Evidências
/
Malária
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Wien Klin Wochenschr
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Áustria