Abstract
The range of infectious diseases encountered whilst working in resource-limited settings
varies enormously depending on where in the world one is working, although the majority
of low- and middle-income countries lie within the tropics. Human immunodeficiency
virus (HIV), tuberculosis (TB) and malaria are commonly encountered when working in
tropical countries and may have an impact upon anaesthesia, either as a direct result
of the condition, or due to interaction with the drugs used in its management. Other
infections, such as dengue, are less likely to be encountered in a patient undergoing
anaesthesia but may be seen in patients in a high-dependency or intensive-care unit.
Furthermore, the chronic effects of some of these diseases may impact upon anaesthesia
or have complications that require surgery. It is essential therefore that the anaesthetist
working within these populations has an appreciation of the tropical diseases that
are endemic, set against the wider backdrop of a resource-limited population where
malnutrition, poorly managed non-communicable disease and trauma may all complicate
the clinical picture.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Anaesthesia & Intensive Care MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- World malaria report 2021.World Health Organization, Geneva2021
- Perioperative considerations of the patient with malaria.Can J Anaesth. 2015; 62: 304-318
- WHO guidelines for malaria, 16 February 2021. World Health Organization, Geneva2021
- Tuberculosis: the implications for anaesthesia.South Afr J Anaesth Analg. 2013; 19: 301-305
- Drug interactions with tuberculosis therapy.South Afr J Cont Med Ed. 2005; 23: 56-60
- Anaesthesia and critical care for patients with HIV infection.Contin Educ Anaesth Crit Care Pain. 2005; 5: 153-156
- Consolidated guidelines on HIV prevention testing, treatment, service delivery and monitoring: recommendations for a public health approach.World Health Organization, Geneva2021
- Tropical Medicine: lecture notes.7th ed. John Wiley & Sons, Chichester2014
Further reading
- Medicine in Africa.4th ed. Cambridge University Press, Cambridge2013
Article Info
Publication History
Published online: July 18, 2022
Royal College of Anaesthetists CPD Skills Framework: General, urological and gynaecological surgery – Preoperative assessment and preparation for surgery ICM and emergency management – Diagnosis and management of shock, infection and sepsis Patient safety – Fluid management and blood product usage Patient safety – Infection control Scientific principles – Pharmacology and therapeuticsPublication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Published by Elsevier Ltd.
