Helminth Infections - (First line)

Important: Therapy

Key points

Treatment

Duration

Threadworm (pinworm)

mebendazole PO

1 dose for each household member Strict handwashing and scrubbing nails Repeat after 2 weeks

Whipworm Hookworm

-           Ancylostoma

-           Necator

mebendazole PO

 

If mebendazole cannot be used

levamisole PO

3 days

 

 

1 dose, repeat after 7 days if severe

Roundworm (Ascaris)

mebendazole PO

 

If mebendazole cannot be used

levamisole PO

3 days

 

1 dose

Tapeworm

-           Taenia solium

-           Hymenolepis nana

 

praziquantel PO

1 dose

Neurocysticercosis

-      Taenia solium

albendazole PO

+

praziquantel PO

15 mg/kg daily (max 800 mg) 10-14 days

50 mg/kg daily 10 – 14 days with dexamethasone

Hydatid

Echinococcus

 

albendazole PO

5 - 7.5 mg/kg (max 400 mg) 12 hourly

+/- surgery

Cystic echinococcosis: 1 - 6 months Alveolar echinococcosis: 2 years minimum

Filaria

Wuchereria bancrofti Brugia malayi

diethylcarbamazine PO

Lymphatic filiariasis:

2 mg/kg 8 hourly 12 days Tropical pulmonary eosinophilia: 2 mg/kg 8 hourly 14 – 21 days

Notes:

Important: Notes

CKS - Threadworms