Strongyloidiasis Treatment Asymptomatic ± eosinophilia (Very low risk): • Diagnostic: Serology, Stool Ova and parasites (O&P) examination for larvae • Management: Ivermectin 200 ug/kg/day Once daily x 2 doses on day 1 and 2, or 14-days apart Simple intestinal strongyloidiasis (Low risk): • Diagnostic: Serology, Stoop O&P examination for larvae • Management: Ivermectin 200 ug/kg/day once daily x 2 doses on day 1 and 2, or 14-days apart Mild hyperinfection syndrome (Moderate risk): • Diagnostic: Serology, Stoop O&P, Sputum examination for larvae • Management: Ivermectin 200 ug/kg/day once daily x 2 doses on day 1 and 2, or 14-days apart PLUS 400 mg po BID x 7 days OR, Monotherapy: Ivermectin ug/kg/day once daily x 7 days Disseminated strongyloidiasis (High risk): • Diagnostic: Stool examination for larvae, Sputum examination for larvae, Urine, cerebrospinal fluid (CSF) or other fluid or tissue examination for larvae. • Management: Ivermectin 200 ug/kg/day or once daily PLUS 400 mg po BID until cessation of larval shedding and clinical improvement #Strongyloidiasis #Treatment #management #strongyloides #parastie #infectiousdiseases
