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Control trial of soil-transmitted helminthic infections with pyrantel pamoate.

Pyrantel pamoate at dosage of 10 mg per kilogramme body weight was given to each villager at 4-6 weeks intervals for three times. The infection rates of hookworms among those who received and did not received the drug decreased from 60.5% pre-treatment to 19.6% after the third treatment and then increased to 32.4% one year after the third treatment. Infection rates of A. lumbricoides and Strongyloides spp. among the villagers who received and did not received the drug decreased from 27.5% pre-treatment to 2.2% after the third treatment and then increased to 20.1% one year later for the former, while the latter decreased from 6.5% pre-treatment to 2.3% after the third treatment and 0.4% one year later. The infection rate of T. trichiura was found to increase as pyrantel pamoate had no effect on this nematode. The authors suggested that to obtain more satisfactory results the anthelmintic drug used must likewise be effective against T. trichiura particularly in areas where this nematode is a public health problem. It was also suggested that the duration of treatment should be prolonged.

Adolescent↗

Flubendazole versus mebendazole in intestinal helminthic infections.

In a double-blind study the vermicidal effect of flubendazole, a new benzimidazole derivative, was evaluated and compared to mebendazole. Both drugs were administered in a single dose of 600 mg. While in the treatment of Ascaris and hookworm infestations flubendazole and mebendazole showed a similar efficacy, mebendazole seemed to be slightly superior in the treatment of trichuriasis. Both drugs were well tolerated and no side effects were observed even in patients with a heavy worm load.

Adolescent↗

Anthelmintic efficacy of mebendazole suspension against induced helminth infections in South African sheep and cattle.

Critical controlled tests were performed in 157 sheep (8 experiments) and 34 cattle (2 experiments) to evaluate the anthelmintic activity of mebendazole suspension, administered intraruminally via a stomach tube at a dosage rate of 15 mg of mebendazole/kg of body weight, against induced infections of immature and adult stages of commonly encountered nematode parasites in South Africa. In the sheep, the controlled efficacy of mebendazole suspension was good to excellent (90.1% to 100%) against all stages of Haemonchus contortus, Trichostrongylus colubriformis, Gaigeria pachyscelis, Ostertagia circumcincta, Nematodirus spathiger, and Chabertia ovina species. Mebendazole was also highly effective (97.3% to 99.9%) against 4th, 5th, and adult stages of Oesophagostomum columbianum and 5th-stage and adult Dictyocaulus filaria. Moderate activity was obtained (79.8% to 82.2%) against 3rd-stage O columbianum, 3rd- and 4th-stage D filaria, and 5th-stage and adult Strongyloides papillosus. In the cattle, mebendazole was effective (91.5% to 100%) against 4th-stage and adult H placei, Cooperia pectinata, Bunostomum phlebotomum, and Oesophagostomum radiatum species, but did not exhibit any appreciable activity (27.3% to 41.5%) against 4th-stage and adult O ostertagi.

Administration, Oral↗

[Helminthic infections of the tropics: parasitology and therapy (author's transl)].

The significance of tropical heminthiases for the populations of tropical countries is discussed and a survey on the incidence of these parasitic infections is given. The difference between infection and disease is explained, and the properties of an ideal drug for combatting the different diseases are described. After a short comment on the goals of the primary and secondary screening procedures the authors refer to WHO's Special Programme for Research and Training in Tropical Diseases. As to the different forms of filariasis, the most important problem is onchocerciasis due to the high rate of blindness. The existing drugs (suramin DEC) are evaluated, however, there is a need for a safe, macrofilaricidal drug. The chemotherapy of filariasis caused by W. bancrofti and B. malayi and the drugs used is also discussed. Thereafter, a survey on the chemotherapy of schistosomiasis and the drugs at hand and in development is given with special reference to praziquantel. Chemotherapy of opistorchiasis and clonorchiasis is still unsatisfactory. The problems arising from this situation are mentioned. Up to now, we have a similar situation in hydatid disease, caused by Echinococcus species. The therapy of choice is operation, however, in animal experiments it could be demonstrated that benzimidazole derivatives inhibit the growth of cysts what indicates the possibility of chemotherapy in man also. Finally, a survey is given on anthelminthic drugs for the therapy of different forms of intestinal helminthiasis with special regard to ancylostomiasis.

Ancylostomiasis↗

Evaluation of granulated fenbendazole as a treatment for helminth infections in dogs.

A granulated formulation of fenbendazole was tested in 95 dogs harbouring naturally occurring infections of Toxocara canis, Ancylostoma caninum, Trichuris vulpis, Dipylidium caninum, and Taenia spp and in 19 laboratory-reared Beagle pups experimentally infected with Toxascaris leonina. The drug was administered in moistened dry dog food or in canned dog food. In dosage titration and confirmational studies, using worm counts in naturally infected dogs, the drug was 98%-100% effective at a dosage of 50 mg/kg of body weight/day for 3 days against the commonly occurring nematodes of dogs (ascarids, hookworms, and whipworms) and against Taenia tapeworms. A dosage of 20 mg/kg for 5 days was equally effective against nematodes, but only 73% of the dogs were cleared of Taenia tapeworms. There was no activity at either dosage against Dipylidium tapeworms. Dosages of 100 or 150 mg/kg for a single treatment and 5 or 25 mg/kg daily for 3 days were unsatisfactory with respect to nematodes and tapeworms. Induced infections of T leonina were eliminated from all treated dogs at the dosage and dosing period tested (50 mg/kg/day for 3 days). Fourteen untreated controls expelled 13% of T leonina burdens. It was concluded that granulated fenbendazole is effective in dogs against natural infections of T canis, A caninum, T vulpis, Taenia spp, and experimentally induced infections of T leonina at a dosage of 50 mg/kg of body weight/day for 3 days.

Animals↗