bonjour,
Savez-vous si il est possible de trouver des anti-paludéens à base d'artémisine tel COartem ou coarsucam ( traitement curatif) à Jakarta? merci
Original post
Trouver du Coartem/Coarsucam (anti-palu) en Indonésie
by Glurk
This discussion is in French, the community’s main language.
l'artémisine ne doit pas etre prise seule en raison de risque important de résistances. Elle est prescrite en combinaison à d'autres molécules pour traiter le paludisme déjà diagnostiqué mais ne doit en aucun être utilisée à titre préventif et surtout pas seule. Son usage est essentiellement hospitalier.
L'indonésie est en zone III (nombreuse souches-chloroquino résistance).
molécules utilisables
doxycycline 100 mg /j contre indiquée femme enceinte et jeune enfant inconvénient le traitement doit être poursuivi 30 jours après la sortie de la zone impaludée et risque de photo réaction ( le meilleur choix pour un adulte si plongée sous marine)
avotaquone/proguanil malarone également un bon choix à poursuivre 7 jours après le retour mais il y a aussi des contre indications peut provoquer nausées, vomissement , vertiges, dépression
certaines zone sans palu
Bali pas de palu par exemple
attention également à la dengue (pas le même moustique), l'encéphalite japonaise si séjour de plus d'un mois.
Le mieux prévoyez une consultation chez un spécialiste des maladies tropicales à prévoir 2 mois avant votre départ
paouasie , kalimatan, attention beaucoup de palu à p.falciparum (le plus dangereux fréquemment mortel)
la meilleure prévention c'est la protection.
1) utiliser des répulsifs
2) dormir sous moustiquaire
3) porter des habits clairs à longues manches dés 16h00 l'après midi
4) enclencher la clim à fond dans la chambre en fin de journée ( les moustiques détestent le froid et les courants d'air) et l'arrêter avant de dormir
dernière info 80% des piqûres de moustiques ont lieu au niveau des chevilles c'est donc la zone à protéger en priorité
dernière info aucune molécule ne protège à 100 % toute fièvre dans ces conditions nécessite un contrôle sanguin pour écarter tout risque de palu
L'indonésie est en zone III (nombreuse souches-chloroquino résistance).
molécules utilisables
doxycycline 100 mg /j contre indiquée femme enceinte et jeune enfant inconvénient le traitement doit être poursuivi 30 jours après la sortie de la zone impaludée et risque de photo réaction ( le meilleur choix pour un adulte si plongée sous marine)
avotaquone/proguanil malarone également un bon choix à poursuivre 7 jours après le retour mais il y a aussi des contre indications peut provoquer nausées, vomissement , vertiges, dépression
certaines zone sans palu
Bali pas de palu par exemple
attention également à la dengue (pas le même moustique), l'encéphalite japonaise si séjour de plus d'un mois.
Le mieux prévoyez une consultation chez un spécialiste des maladies tropicales à prévoir 2 mois avant votre départ
paouasie , kalimatan, attention beaucoup de palu à p.falciparum (le plus dangereux fréquemment mortel)
la meilleure prévention c'est la protection.
1) utiliser des répulsifs
2) dormir sous moustiquaire
3) porter des habits clairs à longues manches dés 16h00 l'après midi
4) enclencher la clim à fond dans la chambre en fin de journée ( les moustiques détestent le froid et les courants d'air) et l'arrêter avant de dormir
dernière info 80% des piqûres de moustiques ont lieu au niveau des chevilles c'est donc la zone à protéger en priorité
dernière info aucune molécule ne protège à 100 % toute fièvre dans ces conditions nécessite un contrôle sanguin pour écarter tout risque de palu
Le mieux est de se tartiner de crème anti moustiques locale pas chère et efficace, style Soffell, buvez du Schewppes (le jaune contient de la quinine).
Il y a du palu et la dengue sur Bali comme partout en indonesie, mais les gros hôtels traitent les moustiques a coût de produits chimiques...
Il y a du palu et la dengue sur Bali comme partout en indonesie, mais les gros hôtels traitent les moustiques a coût de produits chimiques...
bali pas de palu lombok oui
Etant résident a Bali, je pense être courant qu il y a du palu a Bali
faux la prophylaxie pour Bali n'est pas nécessaire
http://www.tropdoc.ch/doc/Malaria%202012%203.1%20F.pdf
http://www.travelsante.com/sources/cartes-palu-2010/indonesielarge.gif
http://www.cfe.fr/pages/votre-sante/fichespays.php?code=DPS
- Présent partout en Indonésie à l'exception de Djakarta, des villes importantes (comme Surabaya ou Medan) et des complexes touristiques de Java. - Pas de paludisme à Bali. - Infection signalée à P. knowlesi dans le Kalimantan.
pour info
sans rancune😏
http://www.tropdoc.ch/doc/Malaria%202012%203.1%20F.pdf
http://www.travelsante.com/sources/cartes-palu-2010/indonesielarge.gif
http://www.cfe.fr/pages/votre-sante/fichespays.php?code=DPS
- Présent partout en Indonésie à l'exception de Djakarta, des villes importantes (comme Surabaya ou Medan) et des complexes touristiques de Java. - Pas de paludisme à Bali. - Infection signalée à P. knowlesi dans le Kalimantan.
pour info
sans rancune😏
J ai passe l age d être rancunier... Certes dans le sud il n y en a pas, mais il se peut sur les autres régions de Bali... Pourquoi le moustique déciderait de s arrêter sur Surabaya qui est a moins d 1 heure a vol d oiseau ?
La dengue est beaucoup plus dangereuse et je peux vous affirmer qu il n y a même sur Bali, c est pas une info que vous trouverez sur un site internet.
La dengue est beaucoup plus dangereuse et je peux vous affirmer qu il n y a même sur Bali, c est pas une info que vous trouverez sur un site internet.
moi non plus je suis pas rancunier
pour la dengue ce que vous dites est exact. Ca devient même un vrai problème de santé publique dans les zones urbaines en particulier
On peut parler aussi de l'encéphalite japonaise si vous voulez ?
ou du paludisme d'aéroport à Londres (avec décès à la clef)
concernant le palu Bali n'est pas une zone a risque. Pour un court séjour la prophylaxie médicamenteuse n'est médicalement pas recommandée (bénéfice risque défavorable) . On peut néanmoins aussi l'envisager chacun fait comme il veut classé en zone II (chloroquino résistance modérée).
Il est certain que dormir sous moustiquaire et utiliser des répulsifs est néanmoins hautement recommandé en raison de la dengue et de l'encéphalite japonaise dont le vecteur est aedes et non l'anophèle car moins on se fait piquer moins on il y a de risques
voila de quoi nous réconcilier😏
pour la dengue ce que vous dites est exact. Ca devient même un vrai problème de santé publique dans les zones urbaines en particulier
On peut parler aussi de l'encéphalite japonaise si vous voulez ?
ou du paludisme d'aéroport à Londres (avec décès à la clef)
concernant le palu Bali n'est pas une zone a risque. Pour un court séjour la prophylaxie médicamenteuse n'est médicalement pas recommandée (bénéfice risque défavorable) . On peut néanmoins aussi l'envisager chacun fait comme il veut classé en zone II (chloroquino résistance modérée).
Il est certain que dormir sous moustiquaire et utiliser des répulsifs est néanmoins hautement recommandé en raison de la dengue et de l'encéphalite japonaise dont le vecteur est aedes et non l'anophèle car moins on se fait piquer moins on il y a de risques
voila de quoi nous réconcilier😏
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