Spectrum: Local Antimicrobial Stewardship, for Yangon Children's Hospital

Plasmodium vivax or ovale

Possible Pathogens

Plasmodium vivax

Plasmodium ovale

Treatment

Chloroquine

  • Days 1 & 2: 10 mg/kg

  • Day 3: 5 mg/kg

OR

Primaquine 0.25 mg base/kg/day for 14 days

  • Radical curative treatment

  • Contraindicated for severe G6PD deficiency, pregnancy, and infancy

In Areas with Chloroquine Resistant Plasmodium vivax

Artemisinin-based Combination

OR

Quinine Sulfate + Doxycycline/Tetracycline

OR

Atovaquone + Proguanil (Malarone)

OR

Mefloquine