Friuli – Pordenone regional coordination for the diagnosis of malaria



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Prestigious recognition at the regional level, for the microbiology and virology of the Pordenone Hospital, led by dr. Alessandro Camporese
The Regional Committee of Laboratory Medicine has, indeed, entrusted, as stated in the text sent by the Central Department of Health of Friuli Venezia Giulia Region "for the particular expertise on the subject, also attested by the results of absolute value, to the structure of microbiology and virology of the hospital Santa Maria degli Angeli of Pordenone, the regional coordination for laboratory diagnosis of malaria, with a function of support and collaboration to specialists of the Region, as well as the training and collection of epidemiological data.The structure, in addition to having the availability of the most advanced badytical technologies (antigenic, molecular, serological, genotypic speciation, drug resistance), has already demonstrated a wide and documented experience in the management of training and know-how on the Internet.

"C is a recon important birth which testifies to the general excellence of our work and in particular of the diagnosis of malaria in which we have a great experiment ", comments the director of the structure of Camporese always satisfied. "For years, Dr. Paola Stano, who works with us, has gained much experience in this diagnosis and has also developed a whole series of second-level tests that other labs perform. not, as the search for plasmid DNA possibility to distinguish one plasmodium from the other with molecular techniques, the possibility of evaluating antimalarial drug resistance, and other diagnostic elements that other laboratories in the region do not have and therefore have not only clinically significant relevance and of course, they attest to the quality of our important operational structure. "

Camporese continues: "This does not mean that other microbiologists in the region do not diagnose malaria.The role that the region has badigned us is to coordinate the diagnostic development and organization of the diagnosis of malaria. which, although remaining a relatively minor diagnosis in numerical terms, compared to other infections, remains a very important diagnosis, as shown by the episodes we have had in these years in Italy, unfortunately also deaths of this pathology. "
" The number of malaria cases are not very high. When a malaria test is required, it means that there are symptomatic patients, so the test positivity is plus or minus 40-50% compared to those that are performed

It s'. almost always acts of Italian patients returning from endemic areas, or foreign patients who work here and who, after visiting families at certain times of the year, as in summer, think that they are immunized against malaria, do not undergo prophylaxis, a key element for all this when we go to critical areas, then return, on the contrary, with malaria. Applications for malaria tests are just over 200 per year. "
Time for travel and holidays also abroad. It is important to undergo antimalarial prophylaxis and when?" Absolutely, "replies the director. of the microbiology of the hospital of Pordenone, Camporese, "it is necessary when you start to travel to some countries to do malaria prophylaxis and not only, for malaria

Malaria is a very common disease in the world and the countries in which it is present are posted on special websites. Even general practitioners are always informed. "
" When malaria prophylaxis is required, it must be done in a timely manner and, especially, Camporese continues, care must be taken not to interrupt it upon return from the trip. In fact, for a week the prophylaxis is actually going on, continued to be sure that even the last pests finally acquired are eliminated. "
The main objectives of the regional coordination for laboratory diagnosis of malaria will be the improvement of the diagnostic quality in the region.University and optimization of regional diagnostic network procedures, validation / management of genotypic tests of second level, adherence of all microbiology and virology facilities to an external quality program, continuous training of operators and collection and badysis of regional epidemiological data

"Staff training is also very important", points out the Pordenone Microbiology Manager, "that is to say that he especially has experience from a microscopic point of view to recognize parasites."
L & # 39; one of our goals will also be the epidemiology ico, he continues, that is to say collect the positive data in the region, which are prevalent and for what parasites, what e is the severity of the diseases. "
Malaria parasites are more of one, the most important being the Plasmodium falciparum

" Among other things, this year we published a work in which we "photographed" the regional reality up to the end of the year. a few years ago and so we will monitor the future situation from now on.
We will be able to evaluate any new tests that should be available on the market to find out if they are actually valid and they may be useful for regional diagnosis. "
" Fortunately, Alessandro Camporese concludes, we have infectious disease centers in Trieste, Udine and Pordenone with our infectious diseases specialists, who have extensive experience in this field. When the disease is diagnosed, from the therapeutic point of view, there are no problems, because at least for our region, we are certainly optimally covered. "

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