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Gastrointestinal Disorders

Ascariasis

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Ascariasis is a type of roundworm infection. These worms are parasites that use your body as a host to mature from larvae or eggs to adult worms. Adult worms, which reproduce, can be more than a foot (30 centimeters) long.

Clinical features

Fever, dyspnea, wheezing, abdominal pain, nausea, vomiting, tingling throat, passage of worms (from mouth, nares, anus), dry cough.

Management

Tab/Syp Albendazole (Zentel) 400mg PO as a single dose OR

Tab/syp Mebendazole (Vermox) 500mg PO Stat or 100mg 1TSF/tab PO BD for three days

Tab/syp Ketress (levamisole) 40mg PO a single dose

These drugs are safe for children above 1 year of age and in pregnancy, although use in 1st trimester is best avoided

Last supportive therapy and supplementation.