Treatment FAQ

what is the treatment for schistosomiasis

by Donnell Sawayn Published 3 years ago Updated 2 years ago
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Medication

Apr 11, 2018 · Safe and effective medication is available for treatment of both urinary and intestinal schistosomiasis. Praziquantel, a prescription medication, is taken for 1-2 days to treat infections caused by all schistosome species. More on: Resources for Health Professionals: Treatment. Page last reviewed: April 11, 2018.

Nutrition

Jan 30, 2020 · Schistosomiasis Treatment. Praziquantel is the only drug available to treat schistosomiasis and has been used for decades in mass administration programs targeting entire populations. Treatment does not prevent later re-infections with larval worms if re-exposure occurs. The lack of alternatives to praziquantel is a concern because the parasites could …

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Currently, the main forms of treatment used for schistosomiasis are praziquantel (PZQ) and oxaminiquine (OXA). PZQ is the drug of choice because it presents as a high-spectrum anthelmintic, used in the treatment of all known species of schistosomiasis and some species of cestodes and trematodes. OXA, however, is not active against the three Schistosome species.

What drugs are used to treat schistosomiasis?

Treatment Praziquantel is the only drug available to treat schistosomiasis and has been used for decades in mass administration programs targeting entire populations. The lack of alternatives to praziquantel is a concern because the parasites could develop resistance to the drug, resulting in no effective treatment for schistosomiasis.

What is schistosomiasis?

Schistosomiasis, also known as bilharzia, is a disease caused by parasitic worms. Although the worms that cause schistosomiasis are not found in the United States, people are infected worldwide. In terms of impact this disease is second only to malaria as the most devastating parasitic disease.

What are the challenges in the development of schistosomiasis treatment?

The alternative treatment for Schistosomiasis involves herbal remedies such as drinking a glass of water mixed with a drop of black walnut oil or having freshly prepared clove tea twice a day or drinking a glass of warm water containing crushes leaves from the olive tree.

What are the alternatives to praziquantel for schistosomiasis?

Apr 12, 2022 · Medication can cure schistosomiasis. Biltricide (praziquantel) is an anthelmintic drug, which means it kills worm-like parasites. It’s usually taken three times in one day to treat the infection and rid the body of the eggs.

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What is the only drug that can treat schistosomiasis?

Praziquantel is the only drug available to treat schistosomiasis and has been used for decades in mass administration programs targeting entire populations. Treatment does not prevent later re-infections with larval worms if re-exposure occurs.

Is Praziquantel safe for schistosomiasis?

Though safe and moderately effective, praziquantel’s molecular mechanism of action has not been characterized.

What is the best treatment for schistosomiasis?

Currently, the main forms of treatment used for schistosomiasis are praziquantel (PZQ) and oxaminiquine (OXA). PZQ is the drug of choice because it presents as a high-spectrum anthelmintic, used in the treatment of all known species of schistosomiasis and some species of cestodes and trematodes.

How many countries have schistosomiasis?

Currently NTDs are prevalent in 149 countries, seventeen of these neglected tropical parasitic diseases are classified as endemic.

How many people are infected with schistosomes?

Globally, more than 200 million people are infected with one of three Schistosome species, including an estimated 40 million women of reproductive age. In Brazil, about 12 million children require preventive chemotherapy with anthelmintic.

How many countries have NTDs?

Currently NTDs are prevalent in 149 countries, seventeen of these neglected tropical parasitic diseases are classified as endemic.

What is schistosomiasis caused by?

Key facts. Schistosomiasis is an acute and chronic disease caused by parasitic worms. People are infected during routine agricultural, domestic, occupational, and recreational activities, which expose them to infested water. Lack of hygiene and certain play habits of school-aged children such as swimming or fishing in infested water make them ...

How does schistosomiasis affect children?

In children, schistosomiasis can cause anaemia, stunting and a reduced ability to learn , although the effects are usually reversible with treatment.

How many countries have schistosomiasis?

Schistosomiasis transmission has been reported from 78 countries. However, preventive chemotherapy for schistosomiasis, where people and communities are targeted for large-scale treatment, is only required in 51 endemic countries with moderate-to-high transmission.

Where is schistosomiasis most prevalent?

Schistosomiasis is prevalent in tropical and subtropical areas , especially in poor communities without access to safe drinking water and adequate sanitation. It is estimated that at least 90% of those requiring treatment for schistosomiasis live in Africa.

Where do worms live?

Adult worms live in the blood vessels where the females release eggs. Some of the eggs are passed out of the body in the faeces or urine to continue the parasite’s lifecycle. Others become trapped in body tissues, causing immune reactions and progressive damage to organs.

Is Praziquantel safe for schistosomiasis?

Data for 2019 show that 44.5% of people requiring treatment were reached globally, with a proportion of 67.2% of school-aged children requiring preventive chemotherapy for schistosomiasis being treated. Praziquantel is the recommended treatment against all forms of schistosomiasis. It is effective, safe, and low-cost.

How many people are infected with schistosomiasis?

Although the parasites that cause human schistosomiasis are not found in the United States, at least 220 million people are infected worldwide, particularly in rural communities where people routinely collect water from lakes, rivers or small bodies of water for household or agricultural use.

What is the disease caused by a flatworm?

Schistosomiasis (Bilharzia) Schistosomiasis, also known as bilharzia or snail fever, is an acute and chronic disease caused by parasitic flatworms called schistosomes or blood flukes. Most human infections are caused by Schistosoma mansoni, S. haematobium, or S. japonicum.

What happens if you wash clothes with water?

Women who are exposed to infested water through such routine tasks as clothes washing can develop urogenital schistosomiasis, which may result in tissue damage that increases the risk of HIV transmission.

Is Praziquantel effective for Schistosomiasis?

The lack of alternatives to praziquantel is a concern because the parasites could develop resistance to the drug, resulting in no effective treatment for schistosomiasis.

What is the Schistosomiasis?

Schistosomiasis is a severe disease that occurs as a result of infection caused by parasitic worms. Infection along with the presence of S. haematobium, S. Japonicum and Schistosoma mansoni cause is the reason for a number of illnesses in human body.

How is the Schistosomiasis treatment done?

If you are under the suspicion that you may be infected with schistosomiasis as the result of the signs and the symptoms, then it is advised that you schedule a visit with your doctor. He or she will ask you to samples of your urine or the stool particles in order to check for the presence of the parasites.

Who is eligible for the treatment? (When is the treatment done?)

People who inhabit regions with source of freshwater that is said to be contaminated with Schistosoma are eligible for treatment in case they start to show signs and symptoms of the infection.

Who is not eligible for the treatment?

People who are allergic to the ingredients contained within the drugs are not eligible to go for treatment and should consult with their physician regarding alternative treatment possibilities.

Are there any side effects?

People who are infected with schistosomiasis will be prescribed to take praziquantel which is an anti-worm drug. Adverse reactions of this medication include dizziness, reduced appetite, headache, nausea, weakness, skin rash and fever. Some rare reactions include high fever, irregular heartbeat, seizures and bloody diarrhoea.

What is the price of the treatment in India?

In India the price of one strip of Praziquantel containing eight tablets can cost you around Rs.350. The price of a chest x-ray can cost you around Rs. 250, ultrasound around Rs.450 and MRI cost varies between Rs.1000- 25000.

What are the alternatives to the treatment?

The alternative treatment for Schistosomiasis involves herbal remedies such as drinking a glass of water mixed with a drop of black walnut oil or having freshly prepared clove tea twice a day or drinking a glass of warm water containing crushes leaves from the olive tree.

What is schistosomiasis caused by?

Updated on June 01, 2019. Schistosomiasis is a disease caused by the larvae of a small, flat worm found in freshwater lakes. The larvae, which normally mature in snails that also live in those lakes, enter through your skin as you swim or bathe in the lake. NIBSC/Science Photo Library/Getty Images.

How many countries have bilharzia?

It affects more people than any parasite other than malaria. It is found in 70 countries and is also called bilharzia or bilharziasis. It is a disease that has had substantial impact—it may have even increased the spread of HIV and hepatitis C .

How do you know if you have a larvae?

Some people feel itchy where the larvae enter the skin. Others don't feel anything until several weeks later. Symptoms can include an itchy rash, fevers, a dry cough, and blood in the urine.

Where is S. intercalatum found?

mekongi are less common. S. mansoni is the most common, infecting over 80 million people worldwide. It is found in multiple areas in South America, the Caribbean, Africa, and the Middle East, and can cause severe damage to the liver.

Does Egypt have hepatitis C?

In addition, Egypt has the highest rates of hepatitis C worldwide, which was thought to have been spread in part by dirty needles used in an anti-schistosomiasis campaign.

Where is S. japonicum found?

S. japonicum is found in China, the Philippines, and other parts of South East Asia, but—despite its name—is very rare in Japan. It infects the liver and intestines, but in rare cases also can infect the brain, leading to seizures and neurological effects.

Can worms be reinfected?

It's also possible to be reinfected, and the worms and their eggs can persist for a long time. Unfortunately, in many places where schistosomiasis is common, the resources for medical treatment aren't available. It is a disease of poverty and of people who don't have full waste sanitation.

What are the symptoms of schistosomiasis?

Many symptoms of schistosomiasis infection frequently include fever, blood in stools or urine, and abdominal discomfort.

Where is schistosomiasis found?

The disease is found mainly in developing countries in Africa, Asia, South America, the Middle East, and the Caribbean and is considered one of many tropical diseases that can be soil-transmitted (or water-transmitted).

How long does it take for schistosomiasis to show symptoms?

Body aches. The majority of people who develop chronic schistosomiasis have symptoms develop months or years after the initial exposure to the parasites. The following is a list of most symptoms associated with chronic schistosomiasis. Patients usually have a few of these symptoms. Abdominal pain.

How do cercariae migrate?

The cercariae can attach to and penetrate the human skin, migrate to blood vessels, and through lung blood capillaries reach the portal blood or vesicular (bladder) blood systems. During this migration, the cercariae change and develop from schistosomula into male and female adult parasitic worms.

Where does abdominal pain come from?

It comes from organs within the abdomen or organs adjacent to the belly. It is caused by inflammation, distention of an organ, or by loss of the blood supply to an organ.

What is the best medicine for schistosomiasis?

Praziquantel is the common medicine used to treat schistosomiasis. It is a tablet taken by mouth and is usually effective. The treatment is usually just a single dose, or two doses taken on the same day. Steroid medication is also sometimes given in acute schistosomiasis.

What is schistosomiasis caused by?

Schistosomiasis. Schistosomiasis is a tropical disease caused by a parasitic infection with worms. Many people do not develop symptoms of acute schistosomiasis, or their symptoms may be mild and go unrecognised. Diagnosis is usually made by testing your urine or poo (faeces) or through a blood test.

How long do worms live?

The life cycle of the worm is then able to start again. The worms can live inside your body for three to five years, producing eggs. Note: not all eggs are excreted.

Where do worm larvae go?

The larvae can swim around and can penetrate the skin of someone who bathes, wades or swims in the water. Once they have got through the skin, larvae then travel to the blood vessels where they mature into adult worms. The worms settle in the blood vessels around the intestine or the bladder (depending on the species).

What are the symptoms of a swollen bladder?

If they are produced in the blood vessels around the bladder, symptoms can include blood in your urine and pain on urinating. Eggs that have not been excreted by the body can also travel to other parts of the body and cause symptoms. For example, your liver, lungs, heart, brain or nervous system may be affected.

How long can you keep water in a storage tank?

Water held in a storage tank for at least 48 hours should be safe for showering. Various measures are being taken to help to reduce schistosomiasis infection in affected countries. These include: Improved sanitation to decrease sewage contamination of fresh water.

Can hepatitis be reversed?

However, for some people, complications cannot be reversed and they can develop chronic ill health; sometimes, death can occur. If someone is also infected with malaria, HIV, or hepatitis, there is a worse prognosis.

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Epidemiology

Symptoms

Diagnosis

Prevention and Control

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes antiparasitic medication.
Medication

Corticosteroids: To reduce inflammation.

Prednisolone


Antiparasitic: Kill the parasites.

Praziquantel

Nutrition

Foods to eat:

  • Particular foods may not help patients of schistosomiasis. Have a healthy balanced diet. In case of chronic schistosomiasis where anemia is seen, it is important to take foods rich in iron such as fish and green leafy vegetables.

Foods to avoid:

  • NA

Specialist to consult

Infectious disease specialist
Specializes in dealing with the diagnosis, control and treatment of infections.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues

Who Response

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Schistosomiasis is prevalent in tropical and subtropical areas, especially in poor communities without access to safe drinking water and adequate sanitation. It is estimated that at least 90% of those requiring treatment for schistosomiasis live in Africa. There are 2 major forms of schistosomiasis – intestinal and urogenital – c…
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