AI Article Synopsis

  • Infection with Strongyloides stercoralis can be asymptomatic but dangerous for immunocompromised people, and ivermectin (IVM) is a key treatment.
  • There are concerns that the effectiveness of IVM is decreasing in certain areas due to prolonged use and mass treatment campaigns.
  • A study in northeastern Thailand found that a single dose of IVM completely cleared the infection in asymptomatic individuals, demonstrating a 100% cure rate and confirming its continued efficacy.

Article Abstract

Infection with Strongyloides stercoralis is often asymptomatic but can be life-threatening in immunocompromised patients, which can be prevented by ivermectin (IVM) treatment. The efficacy of IVM has been reported to have lessened over time in some regions as a consequence of prolonged use and mass treatment campaigns. Ivermectin has been used in Thailand for more than a decade; therefore, we investigated the efficacy of a single dose (200 µg/kg) of IVM against in asymptomatic strongyloidiasis in northeastern Thailand. Fecal samples were collected before and 2 weeks after treatment and were analyzed for the presence of Strongyloides using a modified agar plate culture and the formalin-ethyl acetate concentration technique. Our results showed that single-dose IVM treatment successfully eliminated S. stercoralis infection in asymptomatic individuals in the endemic area with a 100% cure rate, indicating the high efficacy of IVM treatment in strongyloidiasis in northeast Thailand.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11066358PMC
http://dx.doi.org/10.4269/ajtmh.23-0645DOI Listing

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