OBSadvanced
According to standard clinical guidelines for intermittent preventive treatment of malaria in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP), which of the following is a recommended practice?
Answer
Administer each dose under directly observed therapy (DOT)
Explanation
The lecture describes DOT, avoidance of concurrent SP and cotrimoxazole, and limiting folic acid to the prophylactic dose of 0.4 mg daily; it cautions against 5 mg or more because of reduced antimalarial efficacy. It specifies at least one month between SP doses, not less than one week. **Key takeaway:** Check concurrent medicines and folate dose when applying the lecture’s SP protocol.\n\n**Glossary:** **DOT**: directly observed therapy; **prophylactic**: intended to prevent disease.
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