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:* '''Neurocysticercosis treatment''' | :* '''Neurocysticercosis treatment''' | ||
::* 1. '''Parenchymal neurocysticercosis''' | ::* 1. '''Parenchymal neurocysticercosis''' | ||
:::* 1.1 Single lesions<ref name="pmid12364377">{{cite journal| author=García HH, Evans CA, Nash TE, Takayanagui OM, White AC, Botero D et al.| title=Current consensus guidelines for treatment of neurocysticercosis. | journal=Clin Microbiol Rev | year= 2002 | volume= 15 | issue= 4 | pages= 747-56 | pmid=12364377 | doi= | pmc=PMC126865 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12364377 }} </ref> | :::* 1.1 Single lesions<ref name="pmid12364377">{{cite journal| author=García HH, Evans CA, Nash TE, Takayanagui OM, White AC, Botero D et al.| title=Current consensus guidelines for treatment of neurocysticercosis. | journal=Clin Microbiol Rev | year= 2002 | volume= 15 | issue= 4 | pages= 747-56 | pmid=12364377 | doi= | pmc=PMC126865 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12364377 }} </ref> | ||
::::* Preferred regimen:antiparasitic therapy (eg, albendazole 15 mg/kg/day for 3 to 8 days) and a short course of corticosteroids (eg, prednisone 1 mg/kg/day for 8 to 10 days followed by a taper) | ::::* Preferred regimen:antiparasitic therapy (eg, albendazole 15 mg/kg/day for 3 to 8 days) and a short course of corticosteroids (eg, prednisone 1 mg/kg/day for 8 to 10 days followed by a taper) | ||
:::* 1.2 Multiple cysts | :::* 1.2 Multiple cysts | ||
::::* Preferred regimen:most favor treatment of multiple viable, parenchymal cysticerci with antiparasitic therapy (albendazole 15 mg/kg/day in two daily doses for 8 to 15 days) administered together with high-dose steroids | |||
::::* Preferred regimen:combination therapy with both praziquantel (50 mg/kg/day) and albendazole (15 mg/kg/day). | |||
::::* | ::::* Cysticercal encephalitis | ||
| Line 55: | Line 55: | ||
::*Note (1): Myiasis is due to larvae of flies. | ::*Note (1): Myiasis is due to larvae of flies. | ||
::*Note (2): Usually cutaneous/subcutaneous nodule with central punctum. | ::*Note (2): Usually cutaneous/subcutaneous nodule with central punctum. | ||
==Scabies== | ==Scabies== | ||
{{PBI|Scabies}} | {{PBI|Scabies}} | ||
Revision as of 16:12, 23 July 2015
Neurocysticercosis
- Neurocysticercosis
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- Neurocysticercosis treatment
- 1. Parenchymal neurocysticercosis
- 1.1 Single lesions[1]
- Preferred regimen:antiparasitic therapy (eg, albendazole 15 mg/kg/day for 3 to 8 days) and a short course of corticosteroids (eg, prednisone 1 mg/kg/day for 8 to 10 days followed by a taper)
- 1.2 Multiple cysts
- Preferred regimen:most favor treatment of multiple viable, parenchymal cysticerci with antiparasitic therapy (albendazole 15 mg/kg/day in two daily doses for 8 to 15 days) administered together with high-dose steroids
- Preferred regimen:combination therapy with both praziquantel (50 mg/kg/day) and albendazole (15 mg/kg/day).
- Cysticercal encephalitis
Parasites – Ectoparasites
- Body lice
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- Body lice
- Pediculus humanus, corporis treatment[2]
- A body lice infestation is treated by improving the personal hygiene of the infested person, including assuring a regular (at least weekly) change of clean clothes.
- Clothing, bedding, and towels used by the infested person should be laundered using hot water (at least 130°F) and machine dried using the hot cycle.
- Sometimes the infested person also is treated with a pediculicide Ivermectin Lotion; however, a pediculicide Ivermectin generally is not necessary if hygiene is maintained and items are laundered appropriately at least once a week. A pediculicide Ivermectin should be applied exactly as directed on the bottle or by your physician.
- Head lice
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- Head lice
- Pediculus humanus, capitis treatment[3]
- Preferred regimen (1): Permethrin 1% lotion apply to shampooed dried hair for 10 min.; repeat in 9-10 days
- Preferred regimen (2): Malathion 0.5% lotion (Ovide) apply to dry hair for 8–12hrs, then shampoo. 2 doses 7-9 days apart
- Alternative regimen: Ivermectin 200 μg/kg PO once; 3 doses at 7 day intervals reported effective.
- Pubic lice
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- Pubic lice
- Phthirus pubis treatment[4]
- Preferred regimen (1): Permethrin 1% cream rinse applied to affected areas and washed off after 10 minutes
- Preferred regimen (2): Pyrethrins with piperonyl butoxide applied to the affected area and washed off after 10 minutes
- Alternative regimen (1): Malathion 0.5% lotion applied to affected areas and washed off after 8–12 hours
- Alternative regimen (2): Ivermectin 250 ug/kg PO, repeated in 2 weeks
- Myiasis
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- Preferred regimen: No medications approved by the FDA are available for treatment[5]
- Note: Fly larvae need to be surgically removed.
- Fly larvae treatment [6]
- Preferred treatment (1): Occlude punctum to prevent gas exchange with petrolatum, fingernail polish, makeup cream or bacon.
- Preferred treatment (2): When larva migrates, manually remove.
- Note (1): Myiasis is due to larvae of flies.
- Note (2): Usually cutaneous/subcutaneous nodule with central punctum.
Scabies
- Scabies
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- Scabies
- Sarcoptes scabiei treatment [7]
- 1. Adult
- Preferred regimen (1): Permethrin 5% cream applied to all areas of the body from the neck down and washed off after 8–14 hours
- Preferred regimen (2): Ivermectin 200ug/kg PO qd and repeated in 2 weeksAlternative Regimens
- Alternative regimen: Lindane (1%) 1 oz of lotion or 30 g of cream applied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours
- Infants and young children
- Preferred regimen: Permethrin 5% cream applied to all areas of the body from the neck down and washed off after 8–14 hours
- Note: Infants and young children aged< 10 years should not be treated with lindane.
- Alternative regimen (2): Less effective is Crotamiton 10% cream, apply for 24 hours, rinse off, then reapply for 24 hours.
- 2. AIDS patients (CD4 <150 per mm3), debilitated or developmentally disabled patients
- * preferred regimen (for Norwegian scabies) : Permethrin 5% cream-2 or more applications a week apart may be needed. After each Permethrin dose (days 2-7) apply 6% Sulfur in petrolatum.
- Note: Apply entire skin from chin down to and including toes with Permethrin 5% cream. Leave on 8–14hours. Repeat if itching persists for >2-4 wks after treatment or new pustules occur.
Sparganosis
- Sparganosis
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- Sparganosis (Spirometra mansonoides) treatment [8]
- Preferred treatment: Surgical resection or ethanol injection of subcutaneous masses
- Note: Source for Spirometra mansonoides larval cysts is frogs or snakes
- ↑ García HH, Evans CA, Nash TE, Takayanagui OM, White AC, Botero D; et al. (2002). "Current consensus guidelines for treatment of neurocysticercosis". Clin Microbiol Rev. 15 (4): 747–56. PMC 126865. PMID 12364377.
- ↑ Template:CDC
- ↑ Gilbert, David (2014). The Sanford guide to antimicrobial therapy 2014. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808782.
- ↑ Workowski, Kimberly A.; Bolan, Gail A. (2015-06-05). "Sexually transmitted diseases treatment guidelines, 2015". MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control. 64 (RR-03): 1–137. ISSN 1545-8601. PMID 26042815.
- ↑ "Parasites - Myiasis".
- ↑ Gilbert, David (2014). The Sanford guide to antimicrobial therapy 2014. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808782.
- ↑ Gilbert, David (2014). The Sanford guide to antimicrobial therapy 2014. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808782.
- ↑ Gilbert, David (2014). The Sanford guide to antimicrobial therapy 2014. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808782.