Refugee Health: Lost Boys/Girls, Sudan: Presumptive Tx table

Table 1. Recommendations for Presumptive Treatment of Schistosomiasis and Strongyloidiasis among the Lost Boys and Girls of Sudan

	Presumptive Treatment		CDC Testing for Schistosomiasis and Strongyloidiasis
Group	Schistosomiasis	Strongyloidiasis	Before Therapy	After Therapy	Needs Follow-up After Therapy
Healthy	Praziquantel 20 mg/kg, two oral doses 6-8 hours apart	Albendazole 400 mg, oral doses, twice a day for 3 days	No	If patient becomes immune compromised: test for strongyloidiasis	If patient becomes immune compromised: test for strongyloidiasis
Immune compromised *	Praziquantel 20 mg/kg, two oral doses 6-8 hours apart	Albendazole 400 mg, oral doses, twice a day for 3 days	No	Strongyloidiasis testing at least 6 months after treatment	Testing for strongyloidiasis at least 6 months after treatment
Seizure disorder not valuated for cysticercosis*	Evaluate for cysticercosis before giving therapy	Evaluate for cysticercosis before giving therapy	No	No	No
Seizure disorder not caused by cysticercosis	Praziquantel 20 mg/kg, two oral doses 6-8 hours apart	Albendazole 400 mg, oral doses, twice a day for 3 days	No	If patient becomes immune compromised: test for strongyloidiasis	If patient becomes immune compromised: test for strongyloidiasis
Cysticercosis*	No	No	Yes	No	No
Pregnant women*	No	No	Yes	No	No

* CDC can provide additional consultation as needed for these patients or for patients for whom presumptive therapy may have failed.