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180356

Efficacy of Albendazole Mass Treatment Alone Compared to Combined Albendazole – Flubendazole Regimen for Treatment of Resistant Entrobius vermicularis Infection in Children

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Last updated: 03 Jan 2025

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Abstract

Background: Enterobius vermicularis is one of the most common parasitic helminths causing infection in children worldwide causing distressing lifestyle and health problems. The empirical use of anthelminthic drugs without medical supervision and low compliance to treatment protocols lead to resistance to therapy. Objective: To assess the efficacy of albendazole mass treatment alone compared to the combined albendazole-flubendazole regimen for treatment of recurrent and resistant Enterobius vermicularis infection in children and their families. Subject and Methods: It was a clinical trial that included 130 children 3-12 years old with resistant Enterobius vermicularis infection determined by the following inclusion criteria for treatment resistance. This study was carried out at the Pediatrics outpatient Clinic at Al-Azhar University Hospitals, and the Medical Parasitology Department at Damietta Faculty of Medicine, Al-Azhar University at New Damietta city, Egypt. Results: 36 out of 65 (55.4%) children in the albendazole treated group and 54 out of 65(83.1%) in the albendazole-flubendazole treated group was cured with significantly higher efficacy for the albendazole-flubendazole regimen. The laboratory data showed improvement in post-treatment phase especially for albendazole- flubendazole treated groups for hemoglobin%, total leukocytic counts, neutrophil and lymphocyte counts that improved by time and a decline in the reported eosinophilia. The clinical data were significantly warning the presence of infection however they did not define the significance of treatment efficacy or resistance. Conclusion: Enterobiasis is a childhood health problem with potential resistance to regular therapeutic protocols. Using albendazole- flubendazole combined regimen showed promising results in the treated groups superior to albendazole alone against resistant Enterobius vermicularis infection in children. This gives promising results encouraging further evaluation studies.

DOI

10.21608/ejhm.2021.180356

Keywords

Pinworm, Enterobius vermicularis, Flubendazole, albendazole, resistance

Authors

First Name

Khaled A.

Last Name

Temsah

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Email

drkhaled2008@yahoo.com

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Orcid

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First Name

Doaa A.

Last Name

Ahmad

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First Name

Amal A.

Last Name

El Kholy

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First Name

Mohamed I.

Last Name

Elsamanoudy

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Volume

84

Article Issue

1

Related Issue

25405

Issue Date

2021-07-01

Receive Date

2021-06-27

Publish Date

2021-07-01

Page Start

2,071

Page End

2,077

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_180356.html

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https://ejhm.journals.ekb.eg/service?article_code=180356

Order

70

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Efficacy of Albendazole Mass Treatment Alone Compared to Combined Albendazole – Flubendazole Regimen for Treatment of Resistant Entrobius vermicularis Infection in Children

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Article

Created At

22 Jan 2023