
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Ancylostomiasis medical therapy
Introduction
Overview
Overview
Anti-helminthic therapies are recommended among patients with ancylostomiasis. Efficacy of treatment varies according to the severity of infection, geographical distribution, and age groups. Multiple blood transfusion, iron supplements are also be given in severe cases.
Medical Therapy
Medical Therapy
Anti-helminthic therapies are recommended among patients with ancylostomiasis. Efficacy of treatment varies according to the severity of infection, geographical distribution, and age groups.[1]
- Adult
- For stable uncomplicated cases
- Preferred regimen: albendazole 400 mg PO single dose. If failed to respond it is recommended to administer albendazole 400β―mg PO q24 h for 3 days or 800 mg PO as a single dose[2]
- Alternative regimen: mebendazole 100 mg PO q12h for 3 days.[1]
- Alternative regimen: pyrantel pamoate 11mg/kg PO q24h for 3 days (maximum, 1gm per dose)
- For unstable complicated cases
- Albendazole 400 mg PO q24 h for 3 days[2]
- Mebendazole 100 mg PO q24 h for 5 days
- Multiple blood transfusion
- Iron supplements
- For stable uncomplicated cases
- Pediatric
- Children <2 years of age
- Currently, for the treatment of young infants, no guidelines are available. But current knowledge shows that the side effects linked to benzimidazole drugs in young children are likely to be the same as in older children and adults. Therefore, for the potential benefit of physical and cognitive development, the treatment of young infants could be justified.[3]
- Preferred regimen: albendazole 200 mg PO single dose.[4]
- Alternative regimen: mebendazole 100 mg PO q12h for 3 days.[5]
- Children <2 years of age
References
References
- β 1.0 1.1 Loukas A, Hotez PJ, Diemert D, Yazdanbakhsh M, McCarthy JS, Correa-Oliveira R; et al. (2016). “Hookworm infection”. Nat Rev Dis Primers. 2: 16088. doi:10.1038/nrdp.2016.88. PMIDΒ 27929101.
- β 2.0 2.1 Ronquillo AC, Puelles LB, Espinoza LP, SΓ‘nchez VA, Luis Pinto Valdivia J (2019). “Ancylostoma duodenale as a cause of upper gastrointestinal bleeding: a case report”. Braz J Infect Dis. 23 (6): 471β473. doi:10.1016/j.bjid.2019.09.002. PMIDΒ 31622567.
- β Montresor A, Awasthi S, Crompton DW (2003). “Use of benzimidazoles in children younger than 24 months for the treatment of soil-transmitted helminthiasis”. Acta Trop. 86 (2β3): 223β32. doi:10.1016/s0001-706x(03)00042-1. PMCΒ 5633076. PMIDΒ 12745139.
- β Bhatia V, Das MK, Kumar P, Arora NK (2010). “Infantile hookworm disease”. Indian Pediatr. 47 (2): 190β2. doi:10.1007/s13312-010-0033-2. PMIDΒ 20228435.
- β Umbrello G, Pinzani R, Bandera A, Formenti F, Zavarise G, Arghittu M; et al. (2021). “Hookworm infection in infants: a case report and review of literature”. Ital J Pediatr. 47 (1): 26. doi:10.1186/s13052-021-00981-1. PMCΒ 7871578 Check
|pmc=value (help). PMIDΒ 33563313 Check|pmid=value (help).
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalpana Giri, MBBS[2]
