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DIAGNOSTIC TESTS:
Recovery of eggs from stool sample:
- Collect a fecal sample
- fix in 10% formalin
- Use formalin-ethyl acetate sedimentation technique to concentrate
- Microscopically examine a wetmount preparation for eggs
This procedure can only determine egg presence. Differentiation between the two hookworm species is not necessary for treatment (nor is it possible using this technique).
A stained smear can differentiate the rhabditiform larvae of hookworm and Strongyloides because hookworm larvae have a long buccal capsule between the oral opening and the esophagus and the Strongyloides have a short one.
In order to determine severity of infection, methods such as the Kato-Katz may be utilized.
Source:http://www.dpd.cdc.gov/dpdx/HTML/MorphologyTables.htm
MANAGEMENT AND THERAPY :
- Albendazole:
single oral dose of 400 mg (200 mg for children under 2)
- Mebendazole:
100 mg 2x daily for 3 days (for everyone over 2 years of age) or 500mg
once
- Pyrantel pamoate:
single oral dose 11 mg/kg body weight (maximum dose 1g) for 3 days
- severe infections:
ferrous sulfate: 200 mg 3x daily for about 3 months until hemoglobin
value returns to normal
Source: http://www.medletter.com/freedocs/parasitic.pdf