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- W2891048222 abstract "The soil-transmitted helminths (STHs), Ascaris lumbricoides, hookworm and Trichuris trichiura are common in areas with warm and moist climates with little access to adequate water, sanitation, and hygiene affecting the poorest populations. The current control strategy of the World Health Organization is preventive chemotherapy (PC), i.e., the administration of the two benzimidazoles (albendazole and mebendazole) using single, oral doses to at risk populations without prior diagnosis. The recent success of PC is threatened by anthelmintic drug resistance and the low efficacy of the drugs against hookworm (mebendazole) and T. trichiura (albendazole and mebendazole). Only a handful of alternative drugs with anthelmintic properties are available, however, none of the drugs show high efficacy against all three STHs. The combination of two drugs with different activity profiles presents an attractive alternative, which could prevent the development of drug resistance and increase the efficacy compared to monotherapy. In this review, we summarize the efficacy of current and alternative anthelmintics, coadministrations and triple drug therapies assessed by means of network meta-analysis including only randomized controlled trials. Our results highlight that coadministrations have improved efficacy over monotherapy and the necessity of adapting current STH control strategies for the successful continuation of PC programs." @default.
- W2891048222 created "2018-09-27" @default.
- W2891048222 creator A5009937801 @default.
- W2891048222 creator A5033452459 @default.
- W2891048222 creator A5034383953 @default.
- W2891048222 date "2019-01-01" @default.
- W2891048222 modified "2023-10-02" @default.
- W2891048222 title "Drug Combinations Against Soil-Transmitted Helminth Infections" @default.
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- W2891048222 doi "https://doi.org/10.1016/bs.apar.2018.08.002" @default.
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