Abstract

GETAZ, Laurent  and  CASTRO SOTO, Maria del Rosario. Management of strongyloidiasis: literature review with focus on epidemiology in Bolivia. Gac Med Bol [online]. 2023, vol.46, n.1, pp.89-98.  Epub June 01, 2023. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v46i1.639.

Strongyloidiasis is one of the neglected parasitosis. Strongyloidiasis has a high morbidity and mortality among people treated with corticosteroids or with reduced immunity for other reasons. In Bolivia, the studies have shown its transmission and high prevalence in various tropical regions and the inter-Andean valleys. Although the disease is not transmitted in cold climates, people living in all regions of Bolivia can be affected due to internal migration. Infection can occur during travel to endemic areas decades before the onset of symptoms, because if left untreated, the strongyloidiasis can persist for life. This disease is one of the most neglected mainly due to the low sensitivity of the coproparasitological tests routinely used in clinical laboratories. There are more efficient diagnostic methods, such as the modified Baermann technique. which can be applied in Bolivia at low cost. Ivermectin is the treatment of choice, effective, well tolerated in adequate dosis, cheap and available in Bolivia.

Keywords : Strongyloides stercoralis; Bolivia; epidemiology; laboratory diagnosis; parasitology.

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