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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Human Ascariasis: An Updated Review.

Alexander K C Leung1, Amy A M Leung2, Alex H C Wong3

  • 1Department of Pediatrics, The University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.

Recent Patents on Inflammation & Allergy Drug Discovery
|July 7, 2020
PubMed
Summary
This summary is machine-generated.

Ascariasis, a common helminthic infection affecting over 1.2 billion people, is effectively treated with anthelminthics, achieving over 95% cure rates. Long-term prevention requires improved sanitation and health education to combat re-infection in endemic areas.

Keywords:
AlbendazoleAscaris lumbricoidesLöeffler syndromebiliary obstructionintestinal obstructionmebendazolepancreatitispyrantel pamoate

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Tropical Medicine

Background:

  • Ascariasis, caused by Ascaris lumbricoides, is the most prevalent helminthic infection globally, impacting over 1.2 billion individuals.
  • High endemicity is observed in tropical and subtropical regions, disproportionately affecting children under five due to factors like poverty and poor sanitation.

Purpose of the Study:

  • To provide an updated overview of the evaluation, diagnosis, and treatment of ascariasis.
  • To review current management strategies and recent advancements in ascariasis control.

Main Methods:

  • A comprehensive literature search was conducted using PubMed and patent databases for studies on ascariasis published within the last decade.
  • The search included meta-analyses, clinical trials, observational studies, and reviews, focusing on English-language publications.

Main Results:

  • Transmission occurs via ingestion of embryonated eggs from fecal-contaminated sources; diagnosis is confirmed by microscopic fecal examination.
  • While anthelminthic treatment (albendazole, mebendazole, or pyrantel pamoate for pregnant women) yields high cure rates (>95%), re-infection is common in endemic areas.
  • Complications range from asymptomatic infection to severe conditions like intestinal obstruction and malnutrition.

Conclusions:

  • Anthelminthic treatment is crucial for all patients, including asymptomatic individuals, to prevent complications.
  • Long-term prevention strategies must focus on health education, personal hygiene, improved sanitation, and proper waste disposal.
  • Mass deworming programs should be considered in highly prevalent regions to reduce the burden of ascariasis.