pyrantel-pamoate and Intestinal-Diseases--Parasitic

A case of acanthocephaliasis in an 18-month-old child caused by Macracanthorhynchus ingens is reported from Florida. This represents only the third documented case of this species in a human host. An overview of human cases of acanthocephaliasis in the literature is presented, along with a review of the biology, clinical manifestations and pathology in the human host, morphology, and diagnosis.

Topics: Acanthocephala; Animals; Anthelmintics; Feces; Female; Florida; Helminthiasis; Humans; Infant; Intestinal Diseases, Parasitic; Pyrantel Pamoate

Topics: Ancylostoma; Ancylostomiasis; Animals; Antinematodal Agents; Diagnosis, Differential; Humans; Intestinal Diseases, Parasitic; Mebendazole; Necator americanus; Necatoriasis; Prognosis; Pyrantel Pamoate

Topics: Animals; Antinematodal Agents; Enterobiasis; Enterobius; Humans; Intestinal Diseases, Parasitic; Mebendazole; Pyrantel Pamoate

Topics: Animals; Antinematodal Agents; Ascariasis; Ascaris lumbricoides; Humans; Intestinal Diseases, Parasitic; Mebendazole; Prognosis; Pyrantel Pamoate

Topics: Animals; Antinematodal Agents; Diagnosis, Differential; Humans; Intestinal Diseases, Parasitic; Prognosis; Pyrantel Pamoate; Trichostrongylosis; Trichostrongylus

Topics: Enterobiasis; Humans; Intestinal Diseases, Parasitic; Parasite Egg Count; Pyrantel Pamoate

This article discusses strongyloidiasis, hookworm infection, trichostrongyliasis, ascariasis, trichuriasis (whipworm infection), and enterobiasis (pinworm infection). For each infection, the author describes the organism, the epidemiology and geographic distribution, symptomatology and pathogenesis, and diagnosis and treatment.

Topics: Adolescent; Adult; Age Factors; Animals; Ascariasis; Child; Child, Preschool; Female; Hookworm Infections; Humans; Infant; Intestinal Diseases, Parasitic; Male; Mebendazole; Nematode Infections; Oxyuriasis; Piperazines; Pyrantel Pamoate; Strongyloides; Strongyloidiasis; Thiabendazole; Trichostrongylosis; Trichuriasis

Existing anthelmintic drugs (eg, albendazole and mebendazole) have low efficacy against the intestinal nematode species Trichuris trichiura and the drug pipeline is exhausted. We aimed to investigate the strategy of combination chemotherapy with existing drugs to establish whether their efficacy could be enhanced and broadened.. In this randomised controlled trial, we compared three drug combinations and one standard drug alone in children aged 6-14 years in two schools on Pemba Island, Tanzania infected with T trichiura and concomitant intestinal nematodes. We assigned children, via a randomisation list with block sizes of either four or eight, to orally receive albendazole (400 mg) plus ivermectin (200 μg/kg); albendazole (400 mg) plus mebendazole (500 mg); albendazole (400 mg) plus oxantel pamoate (20 mg/kg); or mebendazole (500 mg) alone. The primary endpoints were the proportion of children cured of T trichiura infection and the reduction of T trichiura eggs in stool based on geometric means, both analysed by available case. This study is registered with ISRCTN, number ISRCTN80245406.. We randomly assigned 440 eligible children infected with T trichiura between Sept 2, and Oct 18, 2013, to one of the four treatment groups (110 children per group). Data for 431 children were included in the analysis for the primary endpoints. Albendazole plus oxantel pamoate (74 of 108 children cured [68·5%, 95% CI 59·6-77·4]; egg reduction 99·2%, 98·7-99·6) and albendazole plus ivermectin (30 of 109 cured [27·5%, 19·0-36·0]; egg reduction 94·5%, 91·7-96·3) were significantly more effective against T trichiura than mebendazole alone (nine of 107 cured [8·4%, 3·1-13·8]; egg reduction 58·5%, 45·2-70·9). Albendazole plus mebendazole had similar low efficacy (nine of 107 cured [8·4%, 3·1-13·8; egg reduction 51·6%, 35·0-65·3) to mebendazole alone. About a fifth of the children reported adverse events, which were mainly mild. Abdominal cramps and headache were the most common adverse events after treatment; abdominal cramps were reported by 13 (12·0%) children for albendazole plus ivermectin, 10 (9·3%) for albendazole plus mebendazole, 20 (18·2%) for albendazole plus oxantel pamoate, and 16 (14·5%) for mebendazole; headaches were reported by 5 (4·6%) children for albendazole plus ivermectin, 6 (5·6%) for albendazole plus mebendazole, 12 (10·9%) for albendazole plus oxantel pamoate, and 7 (6·4%) for mebendazole.. Our head-to-head comparison of three combination chemotherapies showed the highest efficacy for albendazole plus oxantel pamoate for the treatment of infection with T trichiura. Further studies should investigate the combination of albendazole plus oxantel pamoate so that it can be considered for soil-transmitted helminthiasis control programmes.. Medicor Foundation and Swiss National Science Foundation.

Topics: Administration, Oral; Adolescent; Albendazole; Animals; Anthelmintics; Child; Drug Therapy, Combination; Drug-Related Side Effects and Adverse Reactions; Feces; Female; Helminthiasis; Humans; Intestinal Diseases, Parasitic; Ivermectin; Male; Mebendazole; Parasite Egg Count; Pyrantel Pamoate; Tanzania; Treatment Outcome; Trichuriasis; Trichuris

The plasma disposition, faecal excretion and efficacy of two formulations of pyrantel pamoate in donkeys were examined in a controlled trial. Three groups of seven donkeys received either no medication (control) or pyrantel paste or granule formulations at horse dosage of 20mg/kg B.W. (equals 6.94 mg/kg PYR base) of body weight. Heparinized blood and faecal samples were collected at various times between 1 and 144 h after treatment. The samples were analysed by high-performance liquid chromatography. The last detectable plasma concentration (tmax) of paste formulation was significantly earlier (36.00 h) compared with granule formulation (46.29 h). Although, there was no significant difference on terminal half lives (t1/2: 12.39 h vs. 14.86 h), tmax (14.86 h vs. 14.00) and MRT (24.80 h vs. 25.44 h) values; the Cmax (0.09 μg/ml) AUC (2.65 μgh/ml) values of paste formulation were significantly lower and smaller compared with those of granule formulation (0.21 μg/ml and 5.60 μgh/ml), respectively. The highest dry faecal concentrations were 710.46 μg/g and 537.21 μg/g and were determined at 48 h for both paste and granule formulation of PYR in donkeys, respectively. Pre-treatment EPG of 1104, 1061 and 1139 were observed for the control, PYR paste and PYR granule groups, respectively. Pre-treatment EPG were not significantly different (P>0.1) between groups. Post-treatment EPG for both PYR treatment groups were significantly different (P<0.001) from the control group until day 35. Following treatments the PYR formulations were efficient (>95% efficacy) until day 28. In all studied donkeys, coprocultures performed at day-3 revealed the presence of Cyathostomes, S. vulgaris. Faecal cultures performed on different days from C-group confirmed the presence of the same genera. Coprocultures from treated animals revealed the presence of few larvae of Cyathostomes.

Topics: Administration, Oral; Animals; Antinematodal Agents; Dosage Forms; Equidae; Feces; Intestinal Diseases, Parasitic; Pyrantel Pamoate; Strongylida Infections

To determine the prevalence and clinical implications of anthelmintic resistance in cyathostomes of horses.. Prospective study.. 80 horses on 10 farms in a 5-county region of northeast Georgia.. On each farm, horses were stratified in descending order according to pretreatment fecal egg count (FEC), blocked into groups of 4, and then randomly assigned to 1 of 4 treatment groups: no treatment (controls), and treatment with pyrantel pamoate, fenbendazole, or ivermectin. Fecal samples were collected 24 hours prior to treatment and 2, 4, and 6 weeks after treatment for determination of FEC. Mean percentage of reduction in FEC was then calculated for each treatment group. For horses from each farm, the efficacy of each anthelmintic was categorized on the basis of mean percentage of reduction in FEC at 2 weeks after treatment (< 80% reduction = ineffective; 80 to 90% reduction = equivocal; and > 90% reduction = effective).. Pyrantel pamoate was effective at reducing FEC in horses from 7 farms, ineffective in horses from 2 farms, and equivocal in horses from 1 farm. Fenbendazole was ineffective at reducing FEC in horses from 9 farms and equivocal in horses from 1 farm. Ivermectin was effective at reducing FEC in horses from all 10 farms.. Results suggest that cyathostome resistance to fenbendazole is highly prevalent, and resistance to pyrantel pamoate is high enough to warrant concern. Resistance to ivermectin was not detected. On the basis of these data, it appears that ivermectin continues to be fully effective in horses. However, too few farms were used in this study to determine the prevalence of cyathostome resistance to ivermectin. Therefore, the efficacy of ivermectin should continue to be monitored closely.

Topics: Animals; Anthelmintics; Drug Resistance; Feces; Female; Fenbendazole; Georgia; Horses; Intestinal Diseases, Parasitic; Ivermectin; Male; Parasite Egg Count; Prevalence; Prospective Studies; Pyrantel Pamoate; Strongyle Infections, Equine; Strongyloidea; Treatment Outcome

To study the anthelmintic effect of albendazole composite (containing 67 mg of albendazole and 83.3 mg base of pyrantel pamoate per tablet).. A randomized controlled study was carried out to compare the efficacy of a single dose of 3 or 2 tablets of albendazole composite versus a single dose of 400 mg of albendazole or 10 mg base/kg of pyrantel pamoate for treatment of intestinal nematodiasis including 1,864 cases infected with hookworm, 1,568 cases infected with Ascaris, 1,785 cases infected with Tricuris trichiura and 373 children infected with Enterobius vermicularis.. In adults, the egg negative conversion rate of a single dose of 3 or 2 tablets of albendazole composite reached 65.0% and 52.7% for hookworm infection (P < 0.01), 100% and 100% for Ascaris infection, and 26.5% and 19.2% for Trichuris infection (P < 0.01), respectively. There were significantly better effect against hookworm with 3 tablets of albendazole composite than that with single albendazole or pyrantel pamoate (65.0% vs. 47.6% and 38.5%, P < 0.01). The effect of 2 tablets of albendazole composite against hookworm was also higher than that of single pyrantel pamoate (P < 0.01) and equal to single albendazole but the anthelmintic effect against Trichuris infection was lower than that of single albendazole (19.2% vs. 26.5%). In 2-6-year-old children, the effect of 1.5 tablets of albendazole composite against Enterobius vermicularis infection showed an egg negative conversion rate of 100% which was higher than that of single pyrantel pamoate (100% vs. 83.0%, P < 0.01). The worm collection data showed that the worm-expelling action of albendazole composite was much more rapid than that of albendazole. There were no adverse effects of albendazole composite on blood picture, liver or renal function and ECG. The side effect of both 3 and 2 tablets of albendazole composite was mild and transcient.. Albendazole composite exhibits a synergistic effect of both albendazole and pyrantel pamoate.

Topics: Adolescent; Adult; Aged; Albendazole; Animals; Antinematodal Agents; Ascaris; Child; Child, Preschool; Drug Combinations; Drug Synergism; Enterobius; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Middle Aged; Parasite Egg Count; Pyrantel Pamoate

Topics: Animals; Anthelmintics; Anti-Bacterial Agents; Antinematodal Agents; Equidae; Feces; Female; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Ivermectin; Macrolides; Male; Parasite Egg Count; Pyrantel Pamoate; Strongylida Infections; Trichostrongylosis

A total of 166 cases were divided into 3 groups: group A comprised 55, group B 54 and group C 57 cases. Group A received ivermectin 0.1 mg/kg orally at a single dose, the cure rates were 100%, 3.8% and 50% for ascaris, hookworm and trichuris, infections respectively: group B received ivermectin 0.2 mg/kg orally at a single dose, the corresponding cure rates were 95.5%, 11.8% and 76.5% respectively; group C received pyrantel pamoate 10 mg/kg orally at a single dose, the corresponding cure rates were 95.5%, 29.6% and 31.6% respectively. Although the cure rates were very low for hookworm infection in both group A and B, however, a number of adult worms of Ancylostoma duodenale and Necator americanus were expelled aster medication; It indicates that ivermectin has some effects on these two species of human hookworm. Side effects were mild and transient in all groups.

Topics: Adolescent; Adult; Ancylostoma; Animals; Ascariasis; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Ivermectin; Necator americanus; Nematode Infections; Pyrantel Pamoate; Trichuriasis

Eight trials were conducted in dogs to document the efficacy of ivermectin (6 micrograms/kg of body weight) and pyrantel pamoate (5 mg of active pyrantel/kg) in a beef-based chewable formulation against Dirofilaria immitis, Ancylostoma caninum, Uncinaria stenocephala, Toxocara canis, and Toxascaris leonina. Three studies involved induced infection with D immitis, and 5 studies involved induced or natural infection with hookworms and ascarids. In 3 intestinal parasite trials, the efficacy of the combination chewable tablet was compared with each of its components. Results indicated that 1 component did not interfere with the activity of the other. In 1 heartworm and 2 intestinal parasite trials, the efficacy of pyrantel, ivermectin/pyrantel combination, or ivermectin with pyrantel dosage of 10 mg/kg was evaluated. The ivermectin/pyrantel combination was 100% effective in preventing development of D immitis larvae. Efficacy of the combined product against T canis, Toxascaris leonina, A caninum, and U stenocephala was 90.1, 99.2, 98.5, and 98.7%, respectively. In the intestinal parasite trials, each individual component was found not to interfere with the anthelmintic action of the other. Increasing the dosage of pyrantel to 10 mg/kg (2 x that in the combination) did not interfere with the efficacy of ivermectin against heartworm or increase the activity of pyrantel against intestinal parasites.

Topics: Administration, Oral; Ancylostomatoidea; Ancylostomiasis; Animals; Dirofilariasis; Dog Diseases; Dogs; Drug Combinations; Female; Hookworm Infections; Intestinal Diseases, Parasitic; Ivermectin; Male; Nematode Infections; Pyrantel Pamoate; Tablets; Toxocariasis

Topics: Anthelmintics; Ascariasis; Benzimidazoles; Child; Costs and Cost Analysis; Drug Administration Schedule; Female; Humans; Intestinal Diseases, Parasitic; Levamisole; Male; Mebendazole; Necatoriasis; Pyrantel; Pyrantel Pamoate; Trichuriasis

Levamisole (Decaris, Belgium) was tested in Iran, Brazil, and in Mississippi and Louisiana for its efficacy as a single-dose oral treatment for Ascaris infections. Subjects were children ages 2 to 15 years, and numbers treated with levamisole and comparative anthelmintics are as follows: 453 with levamisole; 461 with piperazine citrate; 17 with pyrantel pamoate; and 19 with a placebo. Cure rates and total reduction in mean egg counts observed were 92% and 98% respectively for levamisole and 66% and 90% for piperazine. Sixteen of 17 treated with pyrantel pamoate were cured. In none of the drugs were there notable side reactions, but in all four studies side effects were more frequent with piperazine than with levamisole. Levamisole was found to be a well-tolerated, highly effective single-dose ascaricide. It should prove to be particularly useful for mass chemotherapy in Ascaris control programs.

Topics: Adolescent; Antinematodal Agents; Ascariasis; Brazil; Child; Child, Preschool; Clinical Trials as Topic; Drug Evaluation; Female; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Iran; Levamisole; Louisiana; Male; Mississippi; Parasite Egg Count; Piperazines; Placebos; Pyrantel Pamoate; Trichuriasis

The effect of pyrantel pamoate, levamisole, mebendazole, thiabendazole and bephenium hydroxynaphthoate on various intestinal helminths were evaluated among the inhabitants of four villages in the Dezful area southwest of Iran. A total number of 328 persons, all infected simultaneously with Ascaris and hookworm (Ancylostoma duodenale) and 49.2% with Trichostrongylus spp., were randomly divided into six groups. One group was kept as the control and the other five were each treated with one compound. Follow-up examinations showed that all of the drugs used were highly effective on Ascaris, and the differences in the cure rate were not statistically significant except for bephenium hydroxynaphthoate which showed a lower cure rate. For hookworm, cure rates of 100, 90, and 85% were observed with levamisole, pyrantel pamoate and bephenium hydroxynaphthoate, respectively. Cure rates observed with mebendazole and thiabendazole were 35 and 51%, respectively. For Trichostrongylus, the highest cure rate was achieved with levamisole, followed by thiabendazole and mebendazole. While the percentage of people showing side-effects was rather low for all drugs, thiabendazole and bephenium hydroxynaphthoate produced a higher, and levamisole a lower, percentage of side effects.

Topics: Adolescent; Adult; Ancylostomiasis; Anthelmintics; Ascariasis; Bephenium Compounds; Child; Child, Preschool; Clinical Trials as Topic; Drug Evaluation; Feces; Follow-Up Studies; Helminthiasis; Humans; Infant; Intestinal Diseases, Parasitic; Iran; Levamisole; Mebendazole; Parasite Egg Count; Pyrantel Pamoate; Thiabendazole; Trichostrongylosis

Topics: Albendazole; Animals; Anthelmintics; Female; Helminthiasis; Humans; Intestinal Diseases, Parasitic; Ivermectin; Male; Mebendazole; Pyrantel Pamoate; Trichuriasis

Ascaris lumbricoides infection is rare among children in developed countries. Although large numbers of adult Ascaris in the small intestine can cause various abdominal symptoms, this infection remains asymptomatic until the number of worms in the intestine considerably increases in most cases. Ascaris causing bilious vomiting suggesting ileus is rare, especially in developed countries. A 6-year-old boy who lived in Japan, presented with abdominal colic, bilious vomiting at the pediatric emergency room. He appeared pale, and had no abdominal distention, tenderness, palpable abdominal mass, or findings of dehydration. He experienced bilious vomiting again during a physical examination. Laboratory tests showed mild elevation of white blood cells and C-reactive protein levels. Antigens of adenovirus, rotavirus, and norovirus were not detected from his stool, and stool culture showed normal flora. Ultrasonography showed multiple, round-shaped structures within the small intestine, and a tubular structure in a longitudinal scan of the small intestine. Capsule endoscopy showed a moving worm of Ascaris in the jejunum. Intestinal ascariasis should be considered as a cause of bilious vomiting in children, even at the emergency room in industrial countries. Ultrasound examination and capsule endoscopy are useful for diagnosis of pediatric intestinal ascariasis.

Topics: Animals; Antinematodal Agents; Ascariasis; Ascaris lumbricoides; Capsule Endoscopy; Child; Emergency Service, Hospital; Humans; Intestinal Diseases, Parasitic; Intestinal Pseudo-Obstruction; Japan; Jejunum; Male; Predictive Value of Tests; Pyrantel Pamoate; Treatment Outcome; Ultrasonography; Vomiting

Topics: Animals; Anthelmintics; Feces; Female; Florida; Helminthiasis; Humans; Infant; Intestinal Diseases, Parasitic; Mebendazole; Microscopy; Moniliformis; Parasitology; Pyrantel Pamoate; Treatment Outcome

Coproscopic examination of 505 dogs originating from the western or central part of Switzerland revealed the presence (prevalence data) of the following helminthes: Toxocara canis (7.1%), hookworms (6.9%), Trichuris vulpis (5.5%), Toxascaris leonina (1.3%), Taeniidae (1.3%), Capillaria spp. (0.8%), and Diphyllobothrium latum (0.4%). Potential risk factors for infection were identified by a questionnaire: dogs from rural areas significantly more often had hookworms and taeniid eggs in their feces when compared to urban family dogs. Access to small rodents, offal, and carrion was identified as risk factor for hookworm and Taeniidae, while feeding of fresh and uncooked meat did not result in higher prevalences for these helminths. A group of 111 dogs was treated every 3 months with a combined medication of pyrantel embonate, praziquantel, and febantel, and fecal samples were collected for coproscopy in monthly intervals. Despite treatment, the yearly incidence of T. canis was 32%, while hookworms, T. vulpis, Capillaria spp., and Taeniidae reached incidences ranging from 11 to 22%. Fifty-seven percent of the 111 dogs had helminth eggs in their feces at least once during the 1-year study period. This finding implicates that an infection risk with potential zoonotic pathogens cannot be ruled out for the dog owner despite regular deworming four times a year.

Topics: Animals; Antigens, Helminth; Antinematodal Agents; Dog Diseases; Dogs; Drug Therapy, Combination; Feces; Guanidines; Helminthiasis, Animal; Helminths; Intestinal Diseases, Parasitic; Praziquantel; Prevalence; Pyrantel Pamoate; Risk Factors; Surveys and Questionnaires; Switzerland; Time Factors

Parasitic infections are highly prevalent in the general population. A relation between a parasitic infection and absorption of minerals is not an easy task. Serum levels of copper, zinc and magnesium were prospectively measured in 64 children with intestinal parasitic infection. Thirty-nine children with Enterobius vermicularis were treated with pyrantel pamoate and 25 children with Giardia lamblia with tinidazole and metronidazole. Three months after treatment, significant differences in serum copper, zinc and magnesium were seen in patients with E. vermicularis infection, and in serum magnesium levels in patients with G. lamblia. Although the pathogenic mechanism is not clear, these findings could reflect a deficiency related to malabsorption due to mucous affection. Early detection and treatment of intestinal parasitosis could avoid these serum mineral deficiencies.

Topics: Adolescent; Antinematodal Agents; Antitrichomonal Agents; Child; Child, Preschool; Copper; Enterobiasis; Female; Giardiasis; Humans; Infant; Intestinal Absorption; Intestinal Diseases, Parasitic; Magnesium; Male; Metronidazole; Minerals; Nutritional Status; Prospective Studies; Pyrantel Pamoate; Tinidazole; Zinc

A 74-year-old man was admitted to our hospital with frequent right flank pain. The multiple multilocular hepatic abscesses were revealed by computed tomography. Radiographs following a barium meal showed a linear filling defect in the ileum consistent with ascariasis. One day after treatment with pyrantel pamoate, an Ascaris was passed in the stool. The pyogenic hepatic abscesses gradually healed with both antibiotics and continuous drainage. After 2 months, he was discharged. In this case, the pyogenic hepatic abscesses were thus considered to have been caused by an inflammation which spread through the portal vein.

Topics: Aged; Animals; Antinematodal Agents; Ascariasis; Ascaris lumbricoides; Cefoperazone; Cephalosporins; Drug Therapy, Combination; Feces; Humans; Ileal Diseases; Intestinal Diseases, Parasitic; Liver Abscess; Male; Pyrantel Pamoate; Tomography, X-Ray Computed

The efficacy of ivermectin, fenbendazole, pyrantel pamoate and doramectin was evaluated under field conditions at 2 sites in the Free State Province of South Africa. The study involved 25 horses at each site, divided into 5 groups of equal size. Ivermectin, fenbendazole and pyrantel pamoate were administered orally at doses of 0.2, 10 and 19 mg/kg respectively. Doramectin was administered by intramuscular injection at a dose of 0.2 mg/kg. Treatment efficacy was based on the mean faecal egg count reduction 14 days post treatment. At site A a faecal egg count reduction of 100% was found after treatment with ivermectin, fenbendazole and doramectin. A 96.1% reduction was found after treatment with pyrantel pamoate. At site B ivermectin and doramectin produced a 100% reduction in faecal egg counts, fenbendazole produced an 80.8% reduction and pyrantel pamoate a 94.1% reduction. Doramectin produced a 100% reduction in faecal egg counts at both sites, despite not being registered for use in horses. In addition, the results indicated reduced efficacy of fenbendazole at site B, which suggested benzimidazole resistance. Larval cultures showed that cyathostomes accounted for between 86 and 96% of pre-treatment parasite burdens at both sites. Other helminths identified in the faecal samples were Strongylus spp. and Trichostrongylus axei.

Topics: Animals; Anthelmintics; Feces; Fenbendazole; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Ivermectin; Parasite Egg Count; Pyrantel Pamoate; Strongylida Infections; Strongyloidea; Strongylus; Treatment Outcome; Trichostrongylus

A retrospective clinical study to evaluate the effects of paralyzing vermifuges on the course of intestinal obstructions complicating ascariasis was performed. Forty-two patients, 26 patients with partial and 16 patients with complete intestinal obstructions, were treated over 7 years. Although 24 patients have not received any medications two patients with partial obstructions received flaccid paralyzing agent before referral. However, 12 of 16 patients with complete obstruction received spastic paralyzing agent, and the remaining patients received flaccid paralyzing agent before referral. Paralyzing agents, especially those causing spastic paralysis, should be avoided in patients with abdominal symptoms presumed to be related to ascariasis because of the risk of causing complete obstruction and making surgery more complex.

Topics: Anthelmintics; Ascariasis; Child; Child, Preschool; Female; Humans; Intestinal Diseases, Parasitic; Intestinal Obstruction; Male; Piperazines; Pyrantel Pamoate; Retrospective Studies

Topics: Administration, Oral; Animals; Anthelmintics; Cestoda; Cestode Infections; Drug Therapy, Combination; Feces; Gastric Lavage; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Male; Parasite Egg Count; Praziquantel; Pyrantel Pamoate

Studies were undertaken to evaluate by parasitological techniques the course of intestinal and muscular invasions in mice infected with Trichinella spiralis and treated with TFX-Thymomodulin (TFX-Th). Studies were conducted on 120 mice of BALB/c and SWISS strains, infected each with a mean invasive dose of 300 T. spiralis larvae. TFX-Th (Thymoorgan GmbH Pharmazie Co. KG, Vienenburg, Germany) was administered subcutaneously at 30 mg/kg body weight. Depending upon duration of TFX-Th administration and stages of intestinal and muscular invasions, three experiments were distinguished in the study. The results indicated that TFX-Th promoted eradication of larvae from muscles, whether administered at the early of the late stage of T. spiralis invasion.

Topics: Animals; Female; Intestinal Diseases, Parasitic; Larva; Male; Mice; Mice, Inbred BALB C; Muscle, Skeletal; Pyrantel Pamoate; Thymus Extracts; Trichinella spiralis; Trichinellosis

1. The third therapeutic scheme should be used in the hospital. 2. The second and third therapeutic scheme may be used in mass treatment. 3. The 4th-6th therapeutic scheme is to be considered, reviewed, and evaluated. 4. Model and technology of permanent worms control is to be studied. 5. The treatment and control of Ascaris were simple. Cure with low reinfection rate and long reinfection period was remarkable. 6. The prevalence rate and reinfection rate of Trichiuris was high, and not so sensitive to any antelmintics. 7. The reinfection rate in the second group was not superior to the first group and the third group. This revealed no effectiveness of ovicidal and larvicidal on the helminthiasis. 8. Reinfection rate in the third therapeutic scheme was the least group. 9. Toxicity and side effect were not found in any anthelmintics. 10. Broad Spectrum Anthelmintics are necessary in mass treatment or blind treatment.

Topics: Albendazole; Anthelmintics; Ascariasis; Child; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Mebendazole; Pyrantel Pamoate; Treatment Outcome; Trichuriasis

Topics: Animals; Anthelmintics; Antinematodal Agents; Cestoda; Cestode Infections; Feces; Female; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Ivermectin; Louisiana; Parasite Egg Count; Prevalence; Pyrantel; Pyrantel Pamoate

Intestinal helminths are among the most common and widespread of human infections. Because it is typical to find that most worms are aggregated in a few potential hosts it has been suggested that some individuals are predisposed to heavy infections and that morbidity could be controlled by the treatment of heavily infected individuals only. We have studied the prevalence and intensity of reinfection with the intestinal nematode Ascaris lumbricoides among people living in Dhaka, Bangladesh. 880 people were treated with pyrantel pamoate three times at six month intervals, and on each occasion they collected all their stools for 48 h after treatment. Worms expelled by each subject were counted and weighed. The prevalence of infection at round 1 of treatment was 89% and the mean burden was 18.5 worms. Reinfection was rapid and at rounds 2 and 3 the prevalence was 82% and 80%, respectively, with mean burdens of 14.0 and 11.5 worms. The intensity of reinfection was not random: more subjects than expected became heavily reinfected (greater than or equal to 15 worms) and more subjects than expected remained lightly infected (less than or equal to 14 worms) (p less than 0.001). Worms were highly aggregated at each round of treatment but although just over 10% of all subjects were heavily infected at each and every round of treatment, over 60% of all subjects were heavily infected at least once. The findings show that some individuals seem to be susceptible to heavy infection whereas others are not, that deworming has a greater effect on the intensity of infection than on the prevalence, and that mass chemotherapy is likely to be a more effective means to control morbidity than is selective treatment of heavily infected individuals only.

Topics: Adolescent; Adult; Animals; Ascariasis; Ascaris; Bangladesh; Child; Child, Preschool; Disease Susceptibility; Feces; Female; Humans; Intestinal Diseases, Parasitic; Male; Middle Aged; Parasite Egg Count; Pyrantel Pamoate; Recurrence

A survey of intestinal parasites was conducted on 198 foreign workers aged 19-27 from Inodonesia and Philippines. They work for a private company in Ishikawa Prefecture as technical trainee. On the base of stool examination, 94 (71%) out of 133 Indonesians and 48 (74%) of 65 Filipinos had intestinal helminths and/or protozoan infections. The prevalence of Ascaris lumbricoides, Trichuris trichura and Hookworm was 4.5, 64.1, 10.6%, respectively. In addition, the positive rate of the cyst of Entamoeba coli, Endolimax nana, Blastocystis hominis and Giardia lumblia was 11.1, 5.6, 4.5 and 2.0%, respectively. No E. histolytica was found; however, counter current immunoelectrophoresis revealed that one out of 112 sera possessed the antibody against the antigen of HK-9 strain of E. histolytica. Sixty-three cases of trichuriasis were treated with mebendazole at a dose of 200 mg/day x 3 consecutive days. Re-examination revealed that 53 (85.5%) of them were cured.

Topics: Adult; Helminthiasis; Humans; Indonesia; Intestinal Diseases, Parasitic; Japan; Mebendazole; Philippines; Prevalence; Protozoan Infections; Pyrantel Pamoate

A study for about a 30-month period was done to compare strongyle control programs, using per os treatments of ivermectin (IVE) paste exclusively or alternation of 4 antiparasitic paste compounds: IVE, oxfendazole (OFZ), oxibendazole (OBZ), or pyrantel pamoate (PRT). Every 8 weeks, 1 group of horses (barn C; n = 14 to 16) was given IVE paste exclusively, and a second group (barn E; n = 16) was given the 4 antiparasitic pastes on an alternating schedule. Worm eggs and larvae per gram of feces (epg and lpg, respectively) values were determined every 2 weeks during the investigation. This study in grazing horses (mares and fillies), naturally infected with internal parasites, was conducted during the period between Oct 22, 1987 and Feb 8, 1990, with an additional observation on Mar 28, 1990. For barn-C horses, treated exclusively with IVE (200 micrograms/kg of body weight) 14 times, 2-week posttreatment mean strongyle epg and lpg (small strongyle) values were reduced 99 to 100%. Mean strongyle epg and lpg (small strongyle) values for each 2-week sample period remained low (less than 20) throughout the study period, except for 1 moderate transient increase in July 1988. For the entire study period, the aggregate mean strongyle epg value was 12 and the lpg value was 6. Two-week posttreatment mean strongyle epg and lpg (small strongyle) values for barn-E horses, treated alternately with therapeutic (approx) dosage of IVE (200 micrograms/kg; 4 times), OFZ (10 mg/kg; 5 times), OBZ (10 mg/kg; 4 times), or PRT (6.6 mg base/kg; 2 times), varied within and between compounds.(ABSTRACT TRUNCATED AT 250 WORDS)

Topics: Administration, Oral; Animals; Anthelmintics; Benzimidazoles; Drug Therapy, Combination; Feces; Female; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Intestine, Large; Ivermectin; Larva; Ointments; Parasite Egg Count; Pyrantel Pamoate; Strongyle Infections, Equine; Strongyloidea

The prevalence of drug-resistant ovine parasites in the United States has not been widely reported. Thirteen flocks, typical of commercial sheep production units, were selected for survey. Four anthelmintics (fenbendazole, ivermectin, pyrantel pamoate, and levamisole) were tested for their ability to reduce herd mean pretreatment fecal egg count. If a properly dosed and administered drug failed to reduce herd mean pretreatment fecal egg count by 80%, it was considered ineffective in that flock, and the presence of parasites resistant to that drug was inferred. Fenbendazole administration changed pretreatment fecal egg counts by +9% to -100%. On the basis of the aforementioned definition, drug resistance existed in 6 of 13 flocks. Posttreatment larval culture indicated that Haemonchus contortus survived administration of fenbendazole. Levamisole, pyrantel pamoate, and ivermectin reduced pretreatment fecal egg count by -83% to -100%; resistance to these products was not evident in the flocks surveyed.

Topics: Animals; Anthelmintics; Drug Resistance; Feces; Female; Fenbendazole; Intestinal Diseases, Parasitic; Ivermectin; Levamisole; Nematoda; Nematode Infections; Parasite Egg Count; Pyrantel Pamoate; Sheep; Sheep Diseases

Pyrantel pamoate, formulated in a beef-based chewable tablet, was evaluated for efficacy in dogs against induced and natural infections of Toxocara canis, Toxascaris leonina, Ancylostoma caninum and Uncinaria stenocephala. Dose titration trials were conducted in Canada, the UK and Germany in dogs treated with pyrantel (as pamoate salt) at 0, 2.5, 5 or 10 mg kg-1 body weight. These studies showed that a dose rate of 2.5 mg kg-1, the efficacy of pyrantel against adult T. canis, T. leonina, U. stenocephala and A. caninum was 76.1, 85.6, 100 and 87.9%, respectively. Efficacy at 5 mg kg-1 against the same parasites was 94.2, 92.0, 93.5 and 93.8%, respectively, and at 10 mg kg-1 efficacy was 91.2, 97.6, 98.7 and 91.3%, respectively. No adverse effects due to treatment were seen in any of these trials.

Topics: Administration, Oral; Ancylostomiasis; Animals; Dog Diseases; Dogs; Intestinal Diseases, Parasitic; Nematode Infections; Pyrantel Pamoate; Toxocariasis

Sixteen helminth-free pony foals were inoculated with a mean (+/- SD) 2,000 (+/- 545.5) infective Parascaris equorum eggs (day 0). Foals were allocated to replicates of 4, and treatments within each replicate were assigned at random. Treatment administered on postinoculation day (PID) 28 included no treatment (control), 0.2 mg of ivermectin/kg of body weight, 10 mg of oxibendazole/kg, or 6.6 mg of pyrantel base (pamoate)/kg. Paste formulations of the anthelmintics were administered orally. The foals were euthanatized 14 days after treatment (PID 42) and examined for P equorum larvae in the small intestine. The mean +/- SD (and range) numbers of fourth-stage P equorum larvae recovered from nontreated foals and those treated with ivermectin, pyrantel, or oxibendazole were 1,603.8 +/- 1,026.8 (305 to 2,480), 29.3 +/- 55.8 (0 to 113), 413.0 +/- 568.1 (0 to 1,204), or 889.5 +/- 1,123.1 (1 to 2,345), respectively. Compared with the value for control (nontreated) foals, treatment with ivermectin, pyrantel, and oxibendazole was 98.2, 74.2, and 44.5% effective, respectively, when administered 28 days after experimentally induced infection with P equorum. Adverse reactions attributable to treatment were not observed.

Topics: Animals; Anthelmintics; Ascaridoidea; Benzimidazoles; Female; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Ivermectin; Larva; Male; Nematode Infections; Pyrantel Pamoate

Studies on a Thoroughbred breeding farm in Ohio from 1982 to 1988 demonstrated the value of three anthelmintic pastes (ivermectin, oxibendazole, pyrantel pamoate) in controlling benzimidazole resistant cyathostomes (small strongyles) in adult horses. However, a comparison of drug efficacy in suppressing faecal egg counts for the full period between treatments showed a significant reduction in efficacy of all drugs in yearling horses compared with adults. Mean faecal egg counts of adult horses were generally kept below 100 eggs per gram (epg) of faeces when using oxibendazole or pyrantel pamoate at four to five week intervals and ivermectin at eight week intervals. By contrast, mean counts of young horses rose as high as 655 epg (oxibendazole), 729 epg (pyrantel pamoate) and 852 epg (ivermectin) within the same time period after treatment. Individual counts of treated yearlings sometimes exceeded 3,000 epg. Three distinct mechanisms appeared to be involved in the poor results in young horses. These were 1) anthelmintic refuge, 2) anthelmintic resistance, and 3) anthelmintic avoidance.

Topics: Age Factors; Animals; Anthelmintics; Benzimidazoles; Feces; Female; Horses; Intestinal Diseases, Parasitic; Ivermectin; Male; Parasite Egg Count; Pyrantel Pamoate; Random Allocation; Strongyle Infections, Equine

Analysis of egg and worm counts of Ascaris recorded at various intervals following a mass anthelmintic treatment programme in a South Indian fishing community is presented. Three indices of infection in the community are compared, namely the prevalence and intensity of egg output (at 2, 6 and 11 months following treatment) and the number of worms expelled following an 11 month period of reinfection. Detailed examination of these measurements revealed significant associations with patient sex and age. The age-prevalence profile of Ascaris infection changed little over time (except immediately following treatment) with the peak prevalence found in the 5-9 year age group. Although 85% of both males and females harboured Ascaris initially, the prevalence following 11 months reinfection was decreased, due to a significantly lower proportion of males being reinfected. By the 11th month of reinfection, the age-intensity profiles of egg output were similar to those observed at initial treatment in the older age groups (10 years and above) and in male children (less than 10 years). However, a dramatic increase in the egg output of female children, greatly exceeding the initial mean, was observed within a 6 month period of reinfection. The intensity of egg output did not accurately reflect the abundance of Ascaris recovered via drug-induced expulsion following an 11 month period of reinfection. Although the egg output attained preintervention levels, the average worm intensity reached only half the initial value. The trends in the sex- and age-intensity profiles were consistent at the two sampling dates and showed similar patterns to the egg output curves. The relevance of the results to helminth control and the monitoring of reinfection is discussed.

Topics: Adolescent; Adult; Age Factors; Ascariasis; Child; Child, Preschool; Feces; Female; Humans; India; Infant; Intestinal Diseases, Parasitic; Male; Middle Aged; Parasite Egg Count; Pyrantel; Pyrantel Pamoate; Recurrence; Sex Factors

Topics: Animals; Cestode Infections; Horse Diseases; Horses; Intestinal Diseases, Parasitic; Male; Pyrantel; Pyrantel Pamoate

The study design of a project to investigate the epidemiology, population dynamics and control of intestinal nematode infections in fishing village communities in Southern India is described. The paper focuses on Ascaris lumbricoides infection and describes changes in prevalence and intensity (worm burdens) with host age, the aggregated frequency distributions of parasite numbers per person, a density-dependent relationship between parasite fecundity and worm burden and rates of reinfection following chemotherapeutic treatment. The age-intensity of infection profile is convex in form, where maximum worm burdens are attained in children in the age range five to nine years. On the basis of juvenile to adult worm ratioos, the life expectancy of Ascaris in man is estimated to be of the order of one year. Rates of reacquisition of worms after chemotherapy are shown to be dependent on host age. Wormy individuals with heavy infections are shown to be predisposed to this state such that they reacquire heavier than average worm burdens following treatment.

Topics: Adolescent; Adult; Age Factors; Aged; Ascariasis; Ascaris; Child; Child, Preschool; Feces; Female; Humans; India; Infant; Intestinal Diseases, Parasitic; Male; Middle Aged; Parasite Egg Count; Pyrantel; Pyrantel Pamoate; Recurrence

Topics: Adolescent; Adult; Aged; Albendazole; Anthelmintics; Benzimidazoles; Female; Humans; Intestinal Diseases, Parasitic; Male; Middle Aged; Nematode Infections; Pyrantel; Pyrantel Pamoate

The results are presented of a horizontal epidemiological survey of intestinal infections of children aged between six months and 15 years in three adjacent villages in northern Bangladesh. On the basis of 203 stool sample examinations, the prevalence of Ascaris lumbricoides, Trichuris trichiura, hookworm and amoebic infections was estimated as 68, 56, 53 and 19%, respectively. Age-specific prevalence data indicated that approximately 90% of the children were harbouring patent Ascaris infections by the time they were four years old and there was some evidence to suggest differences in the pattern of age-prevalence between male and female children. The intensity of Ascaris infection was found to rise to its maximum value within the first four years of life. No significant differences were detected in the mean worm burdens of children aged between four and 15 years. Each child in this age-group harboured on average 10 worms. The frequency distribution of numbers of A. lumbricoides per host was found to be overdispersed, with a value of the negative binomial parameter, k, of 0.44. The degree of aggregation was found to be approximately the same for each age-class of the population between one and 15 years (0.26 less than or equal to k less than or equal to 0.82). No evidence was found to suggest a density-dependent reduction in the weight of either male or female Ascaris within the range one to 43 worms per host.(ABSTRACT TRUNCATED AT 250 WORDS)

Topics: Adolescent; Ascariasis; Bangladesh; Child; Child, Preschool; Dysentery, Amebic; Escherichia coli Infections; Feces; Hookworm Infections; Humans; Infant; Intestinal Diseases, Parasitic; Parasite Egg Count; Pyrantel Pamoate; Trichuriasis

Topics: Adolescent; Adult; Child; Child, Preschool; Humans; Infant; Intestinal Diseases, Parasitic; Oxyuriasis; Piperazines; Pyrantel Pamoate; Pyrvinium Compounds

A survey was carried out in three orphanages in Jakarta for intestinal helminthic infections. Stool samples and anal swabs of 158 children were examined. The prevalences of intestinal helminthic infections in the Putra Utama, Muslimin and Van der Steur orphanages were respectively as follows: a lumbricoides 70.0%, 76.6% and 50.8%, T. trichiura 78.0% 93.6% and 70.5%, hookworm 20.0%, 12.7% and 3.2% and E. vermicularis 34.0% 29.8%, 59.0%. Treatment with Trivexan (100 mg of pyrantel pamoate and 150 mg of mebendazole), one tablet as a single daily dose for 3 consecutive days resulted in cure rates for A. lumbricoides 96.0%, 100% for T. trichiura 78.0%, 80.9% and 86.9% for hookworm 98.0%, 100% and 100% and for E. vermicularis 82.3% 92.9% and 97.2%. No side effects were observed, except in one child who complained of nausea.

Topics: Adolescent; Child; Child, Institutionalized; Child, Preschool; Drug Combinations; Female; Helminthiasis; Humans; Indonesia; Intestinal Diseases, Parasitic; Male; Mebendazole; Pyrantel Pamoate

A survey for intestinal parasites and mass-treatment with a combination of mebendazole and pyrantel pamoate were conducted in Karakuak, West Flores in 1977. A total of 198 stool specimens from 104 males and 94 females ranging in age from less than 1 to 70 years were examined and 72% harbored one or more intestinal parasites. Ascaris lumbricoides (43%) and Entamoeba histolytica (21%) were the most common, followed by Entamoeba coli (19%), hookworm (18%), Iodamoeba bütschlii (8%), Giardia lamblia (5%) and Trichuris trichiura (4%). Other intestinal parasites infrequently found were: Entamoeba hartmanni (2%), Chilomastix mesnili (2%), Endolimax nana (1%), Enterobius vermicularis (1%) and a heterophyid sp. (1%). A combination of mebendazole base at 200 mg/day and pyrantel pamoate salt at 60 mg/day for three consecutive days was 100% effective.

Topics: Adolescent; Adult; Benzimidazoles; Child; Child, Preschool; Female; Humans; Indonesia; Infant; Intestinal Diseases, Parasitic; Male; Mebendazole; Middle Aged; Pyrantel; Pyrantel Pamoate

Topics: Adolescent; Adult; Antinematodal Agents; Ascariasis; Benzimidazoles; Child; Child, Preschool; Drug Administration Schedule; Drug Combinations; Drug Therapy, Combination; Female; Humans; Intestinal Diseases, Parasitic; Male; Mebendazole; Necatoriasis; Nematode Infections; Pyrantel; Pyrantel Pamoate; Trichuriasis

The anthelminthic efficacy of pyrantel pamoate (Combantrin) in a single dose of 10 mg/kg body weight was compared with that of thiabendazole (Mintezol) in two doses each of 25 mg/kg body weight in a controlled trial. Follow-up examination, 6 weeks after treatment with Combantrin gave cure rates of 93.8%, and 29.1% for infection with Ascaris and the Hookworm respectively, and 44.3% and 27.3% in those treated with Mintezol. The reduction in hookworm egg counts was higher in patients treated with Combantrin than with Mintezol, and Combantrin was better tolerated. Neither drug was effective against the Trichuris. The results are compared with those from other parts of the world.

Topics: Adolescent; Ascariasis; Child; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Pyrantel; Pyrantel Pamoate; Strongyloidiasis; Thiabendazole; Trichuriasis

Topics: Cestode Infections; Humans; Intestinal Diseases, Parasitic; Mebendazole; Nematode Infections; Niclosamide; Paromomycin; Pyrantel Pamoate; Pyrvinium Compounds; Thiabendazole

Topics: Ascariasis; Child; Child, Preschool; Female; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Nematode Infections; Oxyuriasis; Pyrantel Pamoate; Socioeconomic Factors; Strongyloidiasis; Trichuriasis; United States

Topics: Adolescent; Adult; Ancylostomiasis; Anthelmintics; Ascariasis; Child; Female; Fumarates; Humans; Intestinal Diseases, Parasitic; Male; Mebendazole; Nematode Infections; Netherlands; Parasite Egg Count; Pyrantel Pamoate; Strongyloidiasis; Suriname; Thiabendazole; Trichuriasis

Topics: Child, Preschool; Female; Helminthiasis; Humans; Intestinal Diseases, Parasitic; Male; Pyrantel; Pyrantel Pamoate; Taiwan

Topics: Ascariasis; Child; Hookworm Infections; Humans; Intestinal Diseases, Parasitic; Mebendazole; Nematode Infections; Oxyuriasis; Piperazines; Pyrantel Pamoate; Strongyloidiasis; Tetrachloroethylene; Thiabendazole; Trichinellosis; Trichuriasis

Topics: Adolescent; Adult; Aged; Child; Female; Humans; Intestinal Diseases, Parasitic; Male; Middle Aged; Pyrantel; Pyrantel Pamoate

Topics: Administration, Oral; Adolescent; Adult; Aged; Ascariasis; Child; Child, Preschool; Feces; Female; Helminthiasis; Humans; Infant; Intestinal Diseases, Parasitic; Liver Diseases, Parasitic; Male; Middle Aged; Models, Biological; Philippines; Protozoan Infections; Pyrantel Pamoate