Download e-book for kindle: Practical guide to diagnostic parasitology by Lynne S. Garcia

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Additional info for Practical guide to diagnostic parasitology

Sample text

Conventional Microscopy Often, when the diagnosis of malaria is considered, only a single blood specimen is submitted to the laboratory for examination; however, single films or specimens cannot be relied upon to exclude the diagnosis, especially when partial prophylactic medication or therapy is used. Partial use of antimalarial agents may be responsible for reducing the numbers of organisms in the peripheral blood and lead to a blood smear that contains few organisms and a conclusion that reflects a low parasitemia when in fact serious disease is present.

Where do you live and where do you work? [‘‘airport malaria’’]) 2. Has malaria ever been diagnosed in the patient before? If so, which species was identified? 14 ■ SECTION 1 3. What medication (prophylaxis or otherwise) has the patient received, and how often? When was the last dose taken? 4. Has the patient ever received a blood transfusion? Is there a possibility of other needle transmission (drug user)? 5. When was the blood specimen drawn, and was the patient symptomatic at the time? 6. Is there any evidence of a fever periodicity?

In smaller facilities, this work can be incorporated 8 ■ SECTION 1 into a routine microbiology laboratory. Another consideration is the physical location of the laboratory with respect to the source of clinical specimens. If distance is a consideration, the use of appropriate specimen preservatives must be incorporated into patient specimen collection protocols to ensure that accurate laboratory results will be obtained. Client Base Recognition and identification of groups of clients served may dictate the methodology and range of diagnostic testing available.

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