ACTUAL ASPECTS OF THE DIAGNOSIS AND TREATMENT OF HELMINTHIC INFESTATIONS. LECTURE


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Abstract

At present the problem of worm infestation is quite common in clinical practice of primary care physicians (pediatricians). In Russia, up to 80 nosological species of helminths are detected and found. Helminths have certain adaptive mechanisms that allow them to effectively suppress the host’s immune system and exist in a macroorganism state. All helminthic invasions are characterized by a common clinical and pathogenetic stages. Clinical manifestations depend on the location of the helminth, the state of the macroorganism, and the activity of the process. For primary contact doctors, it is important to know the main indications for screening for helminth infections. Diagnostic algorithms are approved by the standards of the World Health Organization. The “gold standard” of diagnosis is helminthoproscopy. However, serological diagnostic methods can be used for tissue helminthiases, as well as in the diagnosis of the acute phase of the disease. In the treatment of helminthic infestations, anthelmintic drugs of the II and III generations are mainly used. In order to eliminate helminth infections transmitted through the soil, the new programme of preventive measures endemic areas will be launched by the World Health Organization in 2020. It includes, among other things, the prophylactic administration of anthelmintic drugs to children, such as mebendazole and albendazole.

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About the authors

Boris M. Blokhin

Pirogov Russian National Research Medical University

Email: blokhinb@gmail.com

Anastasia D. Prokhorova

Pirogov Russian National Research Medical University

Aliya S. Suyundukova

Pirogov Russian National Research Medical University

Irina P. Lobushkova

Pirogov Russian National Research Medical University

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