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The efficacy of single-dose versus double-dose praziquantel treatments on schistosoma mansoni infections: its implication on undernutrition and anaemia among primary schoolchildren in two on-shore communities, Northwestern Tanzania

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dc.creator Munisi, David Z.
dc.creator Buza, Joram
dc.creator Mpolya, Emmanuel A.
dc.creator Angelo, Teckla
dc.creator Kinung, Safari M.
dc.date 2021-05-13T08:28:35Z
dc.date 2021-05-13T08:28:35Z
dc.date 2017
dc.date.accessioned 2022-10-20T14:01:41Z
dc.date.available 2022-10-20T14:01:41Z
dc.identifier Munisi, D. Z., Buza, J., Mpolya, E. A., Angelo, T., & Kinungโ€™hi, S. M. (2017). The efficacy of single-dose versus double-dose praziquantel treatments on Schistosoma mansoni infections: its implication on undernutrition and anaemia among primary schoolchildren in two on-shore communities, northwestern Tanzania. BioMed research international, 2017.
dc.identifier DOI:https://doi.org/10.1155/2017/7035025
dc.identifier http://hdl.handle.net/20.500.12661/3069
dc.identifier.uri http://hdl.handle.net/20.500.12661/3069
dc.description Full text Article. Also available at https://doi.org/10.1155/2017/7035025
dc.description Administering more than one treatment may increase Praziquantel cure and egg reduction rates, there by hastening achievement of schistosomiasis transmission control. A total of 431S. Mansoni-infected schoolchildren were randomized to receive either a single or repeated 40 mg/kg Praziquantel dose. Heights, weights, and haemoglobin levels were determined using a stadiometer, weighing scale, and Hemo Cue, respectively. At 8 weeks, cure rate was higher on repeated dose (93.10%) compared to single dose (68.68%) (𝑝 <0.001). The egg reduction rate was higher on repeated dose (97.54%) compared to single dose (87.27%) (𝑝 = 0.0062). Geometric mean egg intensity was lower among those on repeated dose(1.30epg) compared to single dose (3.18epg)(𝑝 = 0.036)butnotat5 (𝑝 > 0.05)and8(𝑝 > 0.05) months with no difference in reinfection rate. No difference in the prevalence of stunting was observed between the two treatment regimens (𝑝 > 0.05) at 8 months, but there was an increase in the prevalence of wasting among those on repeated dose (𝑝 < 0.001). There was an increase in the mean haemoglobin level sat 8 months with no difference between the two arms (𝑝 > 0.05). To achieve reduction of transmission intensity and disease control in highly endemic areas, repeated treatments alone may not be sufficient. This trial was registered with PACTR 201601001416338.
dc.language en
dc.publisher Hindawi Limited
dc.subject Schistosoma mansoni
dc.subject Anaemia
dc.subject Undernutrition
dc.subject Tanzania
dc.subject Schistosomiasis transmission control
dc.subject Schistosomiasis
dc.subject Urinary schistosomiasis
dc.subject Praziquantel chemotherapy
dc.subject Rorya district
dc.subject Double-dose praziquantel
dc.subject Single-dose praziquantel
dc.title The efficacy of single-dose versus double-dose praziquantel treatments on schistosoma mansoni infections: its implication on undernutrition and anaemia among primary schoolchildren in two on-shore communities, Northwestern Tanzania
dc.type Article
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