Portal de Periódicos da CAPES

Community Based Parasitic Screening and Treatment of Sudanese Refugees: Application and Assessment of Centers for Disease Control Guidelines

2009; American Society of Tropical Medicine and Hygiene; Volume: 80; Issue: 3 Linguagem: Inglês

10.4269/ajtmh.2009.80.425

1476-1645

Stephanie K. Brodine, Anne Thomas, Robert J. Huang, Judith Harbertson, Sanjay R. Mehta, John A. D. Leake, Thomas B. Nutman, Kathleen Moser, J. Wolf, Roshan Ramanathan, Peter D. Burbelo, John Nou, Patricia P. Wilkins, Sharon L. Reed,

Parasitic Diseases Research and Treatment

Centers for Disease Control guidelines for schistosomiasis and strongyloidiasis in Sudanese and Somali refugees are not widely implemented. Given limited prevalence data, we conducted a seroprevalence study of schistosomiasis, strongyloidiasis, and loiasis in Sudanese refugees across diverse ages. Sudanese refugees, ages 4–78, were recruited via community organizations. Half of the patients (86/172), were seropositive for schistosomiasis (46/171; 26.9%), strongyloidiasis (56/172; 33%), or both (16/171; 9.4%). No Loa loa infections were detected. Infection rates were similar in adults and children except that no schistosomiasis was detected in children < 4 years of age at the time of immigration to the United States. The high prevalence of schistosomiasis and strongyloidiasis in a community-based sample of Sudanese confirms the urgency for compliance with CDC refugee health guidelines. We detected no co-infection with Loa loa using the most sensitive serologic techniques, allowing use of ivermectin, the most effective treatment of strongyloidiasis.