Type 2 Diabetes Mellitus Is Associated with Strongyloides stercoralis Treatment Failure in Australian Aboriginals.

PLoS Negl Trop Dis

Centre for Chronic Disease Prevention, Australian Institute of Tropical Health and Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Cairns, Queensland, Australia; School of Population Health, University of South Australia, Adelaide, South Australia, Australia.

Published: April 2016

AI Article Synopsis

  • * A longitudinal study with 92 individuals showed that treatment success ranged from 62% to 79%, influenced by different diagnostic and assessment methods.
  • * The results confirmed that while ivermectin is effective, Type 2 Diabetes Mellitus is notably linked to treatment failure, and potential reasons for this relationship are discussed.

Article Abstract

Objective: To explore the efficacy of ivermectin in the treatment of serologically diagnosed cases of Strongyloides stercoralis (S. stercoralis) infection in an Aboriginal community and to describe factors that may influence the outcome of treatment.

Methods: Longitudinal study of a group of 92 individuals with serologically diagnosed S. stercoralis treated with ivermectin and followed up over a period of approximately 6 months. Main outcomes were serological titers pre and post treatment, diabetic status, and duration of follow up.

Findings: Treatment success was achieved in 62% to 79% of cases dependent on the methods employed for the diagnosis of infection and assessment of treatment outcome. Type 2 Diabetes Mellitus (T2DM) was found to be significantly associated with treatment failure in this group for two of the three methods employed.

Interpretation: Ivermectin has been confirmed as an effective treatment for S stercoralis infection in this setting. T2DM appears to be an independent risk factor for treatment failure in this population, and plausible mechanisms to explain this observation are presented.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4546619PMC
http://dx.doi.org/10.1371/journal.pntd.0003976DOI Listing

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