Hookworms

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Causes

• Ancylostoma doudenale and Necator americanus

Signs and symptoms

Usually asymptomatic. Features may include:

• Cough
• Pallor
• Weakness
• Weight loss

Investigations

• Stool microscopy for ova and parasites.
• Stool examination for occult blood
• Full blood count, including haemoglobin and mean corpuscular volume

Pharmacological treatment

Mebendazole oral

Adult:

100 mg every 12 hours for 3 days

First-trimester pregnancy: Not recommended

Child:

1 – 17 years: 100mg every 12 hours for 3 days

Below 12 months: Not recommended

Albendazole oral

Adult:

400 mg as a single dose

Child:

Below 2 years: 200 mg as a single dose

2 – 17 years: 400 mg as a single dose