Nematode Infections Treatment & Management

Updated: Oct 23, 2019
  • Author: Murat Hökelek, MD, PhD; Chief Editor: Michael Stuart Bronze, MD  more...
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Treatment

Medical Care

Nematode infections need to be identified and treated accordingly.

In dracunculiasis, the best treatment is direct removal of worms from tissue, taking care not to break the worm.

Treat secondary infections.

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Surgical Care

Acute intestinal obstruction and perforation in patients with ascariasis may require surgical treatment.

Long-standing lymphatic filariasis due to W bancrofti and B malayi infection may require surgical intervention to increase lymphatic drainage. This is unusual and likely observed in long-term residents of endemic areas who have been subjected to extensive exposure to the parasite.

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Consultations

Consultations are as follows:

  • Gastroenterologists

  • Parasitologists

  • Radiologists

  • Dermatologists

  • Chest diseases specialists

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Diet

No special diet is required.

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Activity

No restrictions are necessary. In lymphatic filariasis, if edema is a problem, the patient may want to elevate legs while sitting.

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Prevention

Preventive measures are as follows:

  • Good hygiene and sanitation

  • Avoidance of sources of infection (eg, arthropod bites, rivers/streams, contaminated soils, consumption of raw or undercooked fish, snails, and slugs)

  • Public health activities such as vector control

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Further Outpatient Care

Patients who have undergone treatment for nematode infections should undergo follow-up stool studies at 2 weeks and re-treatment, if necessary.

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