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Treatment of ascariasis
Last reviewed: 20.11.2021
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In the acute stage of ascariasis treatment is carried out with antihistamine drugs. Ingest, in case of severe illness, parenteral solutions of calcium chloride, calcium gluconate, ascorbic acid are administered. The thiazolyl-benzimidazole-minesol (thiabendazole) derivative at the dose of 25 mg / kg per day is administered to the larval stage of ascarids in 3 meals after a meal for 5 days. Treatment of ascaridosis can cause an increase in allergic phenomena, so it must be performed in the hospital against desensitizing therapy until glucocorticoids are administered in moderate doses for 5-7 days.
In the chronic stage, the treatment is medamino, decaris, pyrantel.
- Medamin, a derivative of carbamate-benzimidazole, is prescribed in a dose of 10 mg / kg in 3 doses after a meal for 1 day. With massive invasion, treatment can be extended to 2-3 days.
- Decaris (levamisole), an imidazole derivative, is administered at a dose of 2.5 mg / kg per day in 2-3 meals after a meal for 1 day.
- You can carry out treatment with pyrantel in tablets, children of early age are given a suspension of the drug. Dosage regimen and frequency of admission by age:
- 1-2 years - 125 mg;
- 3-6 years - 250 mg;
- 7-12 years - 500 mg in 2 doses;
- 13-15 years - 750 mg in 3 doses after a meal for 1 day.
All three drugs are tolerated by the children. It is better to treat children with massive invasion in a hospital or day hospital.
With ascariasis, vermox (mebendazole) is highly effective, but the drug causes increased motor activity of helminths, which can lead to anti-peristalsis, vomiting and ascarid ingression into the respiratory tract. In this regard, vermox, especially with intensive infestation, children are not prescribed. In addition to specific drugs prescribed multivitamins, enzyme preparations, with anemia iron preparations, provide a full-fledged protein diet. Control of the effectiveness of treatment is carried out after 3 weeks by triplicate study of faeces.