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By ULY CLINIC

Ancylostomiasis

Introduction

It is a hookworm disease caused by infestation of the small intestine with Ancylostoma duodenale or Necator americanus leading to anaemia and malnutrition.  

Diagnostic Criteria

  • Abdominal pains

  • Chronic diarrhea 

  • Melena stool

  • Weight loss

  • Chronic cough ( loafers’ syndrome)  PLUS 

  • Evidence of ova or worms on wet mount stool examination 

  • Anaemia 

 

Pharmacological Treatment  

                                                                                        

  • Mebendazole (PO) 500mg as a single dose or 100mg 12 hourly for 3 days.    

OR

  • Albendazole (PO) 400mg as a single dose. 

 

Note: 

  • If persist, give second course after 4 weeks.

  • Iron replacement and nutritional supplementation (protein and vitamins) should be part of the management strategy. 

  • Albendazole is contraindicated in the first trimester of pregnancy

Updated on, 2.11.2020

References

1. STG 

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