Askarioza
Charakterystyka, pielęgnacja i opieka

Askarioza, wywoływana przez nicienia Ascaris lumbricoides, jest najczęstszą pasożytniczą infekcją jelitową, szczególnie w regionach o niskim poziomie higieny. Klinicznie może przebiegać bezobjawowo lub manifestować się objawami ze strony przewodu pokarmowego (ból brzucha, nudności, wymioty, biegunka) oraz układu oddechowego (kaszel, świsty). Diagnostyka opiera się na badaniu kału w kierunku jaj pasożyta, morfologii krwi (eozynofilia) oraz badaniach obrazowych w przypadku powikłań, takich jak niedrożność jelit. Leczenie farmakologiczne obejmuje albendazol (400 mg jednorazowo u pacjentów powyżej 12 miesięcy, skuteczność >95%), mebendazol (100 mg 2x/d przez 3 dni lub 500 mg jednorazowo), iwermektynę (150-200 μg/kg jednorazowo) oraz pyrantel pamoate, preferowany u kobiet w ciąży. W fazie płucnej askariozy leki przeciwpasożytnicze są przeciwwskazane ze względu na ryzyko nasilenia zapalenia płuc.

Wprowadzenie do askariozy

Askarioza (łac. ascariasis) jest chorobą pasożytniczą wywoływaną przez nicienia Ascaris lumbricoides (glista ludzka), który jest najczęstszym pasożytem jelitowym u ludzi. Choroba ta występuje endemicznie w wielu regionach świata, szczególnie w krajach rozwijających się o niskim poziomie higieny i sanitacji12. Zakażenie może przebiegać bezobjawowo, prowadzić do niedożywienia i zahamowania wzrostu, lub manifestować się objawami ze strony przewodu pokarmowego, takimi jak ból brzucha, nudności, wymioty, wzdęcia i biegunka3. W przypadku masywnego zarażenia mogą wystąpić poważne powikłania, w tym niedrożność jelit45.

Ocena pielęgniarska pacjenta z askariozą

Kompleksowa ocena pielęgniarska pacjenta z askariozą powinna obejmować szczegółowy wywiad, badanie fizykalne oraz wyniki badań diagnostycznych. Istotne jest zebranie informacji dotyczących ostatnich podróży do regionów endemicznych, warunków sanitarnych, objawów klinicznych oraz potencjalnych czynników ryzyka67.

Wywiad pielęgniarski

Podczas zbierania wywiadu należy zwrócić szczególną uwagę na występowanie następujących objawów89:

  • Dyskomfort lub ból brzucha
  • Nudności i wymioty
  • Utrata apetytu
  • Nieregularne wypróżnienia (biegunka lub zaparcia)
  • Widoczne pasożyty w kale
  • Utrata masy ciała lub zahamowanie wzrostu (u dzieci)
  • Objawy ze strony układu oddechowego (kaszel, świszczący oddech, krwista plwocina)
  • Gorączka

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Badanie fizykalne

Badanie fizykalne może wykazać11:

  • Bolesność palpacyjna brzucha
  • Wzdęcie brzucha
  • Oznaki niedożywienia
  • Świsty i rzężenia podczas osłuchiwania płuc (w przypadku fazy płucnej)
  • Nieprawidłowości we wzroście i rozwoju u dzieci

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Diagnostyka

Diagnostyka askariozy obejmuje11:

  • Badanie kału w kierunku obecności jaj i dorosłych postaci pasożyta
  • Badanie morfologiczne krwi (może wykazać eozynofilię)
  • Badania obrazowe (USG, RTG) w przypadku podejrzenia powikłań, takich jak niedrożność jelit
  • Endoskopia w przypadku podejrzenia zajęcia dróg żółciowych

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Diagnozy pielęgniarskie

Na podstawie zebranych danych można sformułować następujące diagnozy pielęgniarskie62:

  • Ból związany z procesem zapalnym i obecnością pasożytów w przewodzie pokarmowym
  • Nieprawidłowy stan odżywienia spowodowany zaburzonym wchłanianiem substancji odżywczych
  • Ryzyko odwodnienia związane z biegunką i wymiotami
  • Zaburzenia oddychania w przypadku fazy płucnej askariozy
  • Deficyt wiedzy dotyczący choroby, jej przyczyn, leczenia i profilaktyki
  • Ryzyko wystąpienia powikłań związanych z migracją pasożytów (niedrożność jelit, zapalenie dróg żółciowych, zapalenie wyrostka robaczkowego)

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Farmakoterapia w askariozie

Leki przeciwpasożytnicze

Leczenie askariozy opiera się głównie na podawaniu leków przeciwpasożytniczych. Najczęściej stosowane leki to1415:

  • Albendazol – 400 mg doustnie, jednorazowo u pacjentów powyżej 12 miesięcy z niepowikłanym zakażeniem. Jest lekiem z wyboru o skuteczności ponad 95%1617. Mechanizm działania polega na blokowaniu polimeryzacji mikrotubul pasożyta, co prowadzi do upośledzenia produkcji jaj i zmian degeneracyjnych w przewodzie pokarmowym pasożyta17.
  • Mebendazol – 100 mg doustnie dwa razy dziennie przez 3 dni lub 500 mg doustnie jednorazowo14. Szczególnie zalecany u pacjentów, u których askarioza współistnieje z zakażeniem włosogłówką18.
  • Iwermektyna – 150-200 μg/kg masy ciała doustnie, jednorazowo14.
  • Pyrantel pamoate – lek z wyboru u kobiet w ciąży, zwłaszcza w pierwszym trymestrze1917. Działa poprzez blokadę nerwowo-mięśniową i paraliż dorosłych postaci pasożyta17.
  • Nitazoksanid – skuteczny w łagodnych przypadkach askariozy, mniej skuteczny w ciężkich przypadkach14.

Bezpieczeństwo farmakoterapii

Przy stosowaniu leków przeciwpasożytniczych należy uwzględnić następujące kwestie2021:

  • Albendazol – lek kategorii C w ciąży. WHO dopuszcza stosowanie w II i III trymestrze ciąży. Bezpieczeństwo u dzieci poniżej 6 roku życia nie jest w pełni potwierdzone, choć WHO dopuszcza stosowanie u dzieci od 1 roku życia20.
  • Mebendazol – lek kategorii C w ciąży. WHO dopuszcza stosowanie w II i III trymestrze ciąży. Jest minimalnie wydzielany do mleka matki i WHO klasyfikuje go jako kompatybilny z karmieniem piersią21.
  • Iwermektyna – lek kategorii C w ciąży. WHO wyklucza kobiety w ciąży z programów masowej derobatyzacji z użyciem iwermektyny. Jest wydzielana w niskich stężeniach do mleka matki2122.
  • Pyrantel pamoate – lek kategorii C w ciąży. WHO dopuszcza stosowanie w II i III trymestrze ciąży. Bezpieczeństwo u dzieci nie jest w pełni potwierdzone, ale WHO umieszcza go na liście leków przeciwrobaczyc jelit, które mogą być stosowane u dzieci powyżej 1 roku życia22.

Szczególne sytuacje kliniczne

W przypadku powikłań askariozy należy uwzględnić następujące zalecenia1419:

  • Podczas aktywnej fazy płucnej zakażenia nie zaleca się stosowania leków przeciwpasożytniczych ze względu na ryzyko nasilenia zapalenia płuc. Leczenie powinno skupiać się na łagodzeniu objawów (leki rozszerzające oskrzela, kortykosteroidy)14.
  • U pacjentów z częściową lub całkowitą niedrożnością jelit należy unikać stosowania leków wywołujących paraliż pasożyta (np. pyrantel pamoate, iwermektyna), ponieważ sparaliżowane pasożyty mogą powodować konieczność interwencji chirurgicznej lub komplikować zabieg19. W takich przypadkach pacjenci powinni być leczeni w placówkach z zapleczem chirurgicznym19.
  • W przypadku częściowej niedrożności jelit zaleca się założenie sondy nosowo-żołądkowej, zakaz przyjmowania pokarmów drogą doustną, nawodnienie dożylne oraz podanie piperazyny23.

Interwencje pielęgniarskie

Podawanie leków i monitorowanie leczenia

Rola pielęgniarki w farmakoterapii askariozy obejmuje615:

  • Prawidłowe podawanie leków przeciwpasożytniczych zgodnie z zaleceniami lekarza
  • Monitorowanie skuteczności leczenia poprzez obserwację objawów klinicznych
  • Obserwacja pacjenta pod kątem możliwych działań niepożądanych leków
  • Informowanie pacjenta o konieczności powtórzenia leczenia po 1-3 miesiącach, aby umożliwić działanie leków na larwy, które w tym czasie dojrzeją do postaci dorosłych124
  • Edukacja pacjenta na temat konieczności kontrolnego badania kału po 3 miesiącach w celu potwierdzenia skuteczności leczenia2526

Leczenie wspomagające

W przypadku objawowej askariozy pielęgniarka powinna wdrożyć następujące działania524:

  • Zapewnienie odpowiedniego nawodnienia i zbilansowanej diety w celu uzupełnienia niedoborów pokarmowych
  • Podawanie leków przeciwbólowych i przeciwwymiotnych zgodnie z zaleceniami
  • W przypadku częściowej niedrożności jelit: założenie sondy nosowo-żołądkowej, monitorowanie bilansu płynów, podaż płynów dożylnych235
  • W przypadku zajęcia dróg żółciowych: obserwacja pod kątem objawów żółtaczki, bólu, gorączki27

Postępowanie w powikłaniach

W przypadku powikłań askariozy pielęgniarka powinna115:

  • Przygotować pacjenta do badań diagnostycznych (USG, RTG, endoskopia)
  • Przygotować pacjenta do ewentualnej interwencji chirurgicznej w przypadku całkowitej niedrożności jelit, perforacji lub zajęcia dróg żółciowych28
  • Monitorować stan pacjenta po zabiegu chirurgicznym
  • Podawać leki przeciwpasożytnicze po przywróceniu drożności przewodu pokarmowego w celu eliminacji pozostałych jaj pasożyta2916

Edukacja pacjenta i profilaktyka

Edukacja zdrowotna

Edukacja pacjenta z askariozą powinna obejmować1323:

  • Informacje na temat cyklu życiowego pasożyta i dróg jego przenoszenia
  • Wyjaśnienie konieczności przestrzegania zaleceń dotyczących przyjmowania leków
  • Informacje o potrzebie ponownego leczenia i kontrolnych badań kału
  • Zasady higieny osobistej i przygotowywania posiłków
  • Informacje o konieczności leczenia wszystkich członków rodziny w przypadku zdiagnozowania askariozy u jednej osoby

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Działania profilaktyczne

Profilaktyka askariozy obejmuje2331:

  • Dokładne mycie rąk mydłem i czystą wodą, szczególnie przed jedzeniem, przygotowywaniem posiłków oraz po skorzystaniu z toalety
  • Dokładne mycie owoców i warzyw przed spożyciem
  • Picie tylko przegotowanej lub butelkowanej wody
  • Używanie odpowiednich toalet i unikanie defekacji na otwartej przestrzeni
  • Właściwe usuwanie odchodów ludzkich i odpowiednie systemy kanalizacyjne
  • Unikanie stosowania nieprzetworzonych odchodów ludzkich jako nawozu
  • Regularne odrobaczanie, szczególnie u dzieci w wieku szkolnym w regionach endemicznych3233

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Opieka nad dzieckiem z askariozą

Opieka pielęgniarska nad dzieckiem z askariozą wymaga szczególnego podejścia230:

  • Monitorowanie parametrów rozwojowych dziecka ze względu na ryzyko niedożywienia i zahamowania wzrostu
  • Dostosowanie dawek leków do wieku i masy ciała dziecka
  • Edukacja rodziców na temat właściwej higieny i profilaktyki
  • Monitorowanie działań niepożądanych leków, które mogą być bardziej nasilone u dzieci
  • Obserwacja pod kątem powikłań, które u dzieci mogą występować częściej (np. niedrożność jelit)
  • Współpraca z rodzicami w zakresie kontrolnych badań kału i ewentualnego powtórzenia leczenia

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Rola zespołu interprofesjonalnego

Optymalna opieka nad pacjentem z askariozą wymaga współpracy interdyscyplinarnego zespołu medycznego13:

  • Lekarz podstawowej opieki zdrowotnej – diagnoza i leczenie niepowikłanej askariozy
  • Gastroenterolog – konsultacja w przypadku powikłań ze strony przewodu pokarmowego
  • Chirurg – interwencja w przypadku niedrożności jelit, perforacji lub zapalenia wyrostka robaczkowego11
  • Pielęgniarka – podawanie leków, monitorowanie stanu pacjenta, edukacja zdrowotna
  • Farmaceuta – doradztwo w zakresie farmakoterapii, informowanie o możliwych interakcjach lekowych
  • Pracownik socjalny – pomoc w poprawie warunków socjoekonomicznych w przypadku pacjentów z niekorzystnych środowisk
  • Specjalista zdrowia publicznego – działania profilaktyczne na poziomie społeczności33

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Dokumentacja pielęgniarska

Dokumentacja pielęgniarska w przypadku pacjenta z askariozą powinna zawierać62:

  • Szczegółową ocenę stanu pacjenta, w tym wywiad, badanie fizykalne i wyniki badań diagnostycznych
  • Sformułowane diagnozy pielęgniarskie
  • Plan opieki pielęgniarskiej z określonymi celami i interwencjami
  • Zapis podawanych leków i obserwacji pacjenta
  • Dokumentację edukacji zdrowotnej pacjenta i/lub jego rodziny
  • Zalecenia dotyczące dalszej opieki po zakończeniu hospitalizacji
  • Plan kontrolnych badań i powtórnego leczenia

Ocena efektów opieki

Cele opieki pielęgniarskiej zostają osiągnięte, gdy62:

  • Pacjent nie zgłasza bólu brzucha i innych objawów związanych z zakażeniem
  • Badania kontrolne kału nie wykazują obecności jaj i dorosłych postaci pasożyta
  • Stan odżywienia pacjenta uległ poprawie
  • Pacjent nie ma objawów ze strony układu oddechowego
  • Pacjent i/lub jego rodzina posiadają wiedzę na temat choroby, jej przyczyn, leczenia i profilaktyki
  • Pacjent stosuje się do zaleceń dotyczących higieny i profilaktyki
  • Nie wystąpiły powikłania związane z migracją pasożytów

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Podsumowanie roli pielęgniarskiej w opiece nad pacjentem z askariozą

Rola pielęgniarki w opiece nad pacjentem z askariozą jest wieloaspektowa i obejmuje2337:

  • Kompleksową ocenę stanu pacjenta
  • Formułowanie diagnoz pielęgniarskich i planowanie opieki
  • Podawanie leków przeciwpasożytniczych i monitorowanie ich skuteczności
  • Zapewnienie leczenia wspomagającego
  • Obserwację pod kątem możliwych powikłań
  • Edukację zdrowotną pacjenta i/lub jego rodziny
  • Działania profilaktyczne
  • Dokumentowanie procesu pielęgnowania
  • Współpracę z interdyscyplinarnym zespołem medycznym

Askarioza, choć często przebiega bezobjawowo, może prowadzić do poważnych powikłań, szczególnie u dzieci. Właściwa opieka pielęgniarska, obejmująca kompleksową ocenę stanu pacjenta, podawanie leków przeciwpasożytniczych, monitorowanie skuteczności leczenia, leczenie wspomagające oraz edukację zdrowotną, ma kluczowe znaczenie w zapewnieniu pomyślnego wyniku leczenia i zapobieganiu nawrotom zakażenia3818.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Ascariasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-17878/
    Ascaris lumbricoides, the causative agent of ascariasis, is the most common parasitic worm in humans. […] This activity outlines the evaluation and treatment of ascariasis and explains the role of the interprofessional team in managing patients with this condition. […] Outline the importance of improving care coordination among the interprofessional team members to enhance the delivery of care for patients affected with ascariasis. […] Even mild cases of Ascaris infection should be treated to prevent complications from parasite migration, and however, during active migration through the lungs, medical therapy is not indicated, secondary to the increased risk of pneumonitis. […] Medical therapy will target adult worms, which is the reason why treatment should be repeated after one to three months, to give time to larvae that can be present to mature to adulthood and be susceptible to therapy.
  • #2 Roundworms (Ascariasis) Nursing Management & Care Plans – RNpedia
    https://www.rnpedia.com/nursing-notes/communicable-diseases-notes/roundworms-ascariasis-nursing-management-care-plans/
    Ascariasis predominates in areas of poor sanitation and is associated with malnutrition, iron-deficiency anemia, and impairments of growth and cognition. […] Nursing care of a child with roundworms may include the following: […] Assessment of the child include: […] Based on the assessment data, the major nursing diagnoses are: […] The major nursing care planning goals for patients with roundworm are: […] Nursing interventions for a child with roundworm include the following: […] Goals are met as evidenced by: […] Documentation in a child with roundworms include the following:
  • #3 CE Activity | Ascariasis | NPs
    https://www.statpearls.com/nursepractitioner/ce/activity/93634/?specialty=NP-Pediatric%20Primary%20Care
    Ascaris lumbricoides, the causative agent of ascariasis, is the most common parasitic worm in humans. Ascariasis can be asymptomatic, causing only malnutrition and growth retardation, or it may present with abdominal pain, nausea, vomiting, bloating, and diarrhea. This activity outlines the evaluation and treatment of ascariasis and explains the role of the interprofessional team in managing patients with this condition. […] Outline the importance of improving care coordination among the interprofessional team members to enhance the delivery of care for patients affected with ascariasis. […] Outline the pharmacologic therapy as it applies to Ascariasis.
  • #4 Roundworms: Parasitic Infection, Pinworm Symptoms, Treatment
    https://my.clevelandclinic.org/health/diseases/15240-roundworms
    This type of roundworm spreads through poor hygiene. It often lives in human feces (poop). People catch it through hand-to-mouth contact. […] If you have a roundworm infection of your intestines (ascariasis), you may not have symptoms. You may see live worms in your poop though. If you do have symptoms, they may include: Cough. Disturbed sleep. Fever. Restlessness. Severe abdominal (stomach) pain. Vomiting Wheezing. Malnutrition. Growth delay. […] While there are various kinds of roundworms, they usually all have the same treatment. Your provider will prescribe a medicine called albendazole. This medicine prevents the larvae from getting bigger or multiplying. The worms in your body then pass through your poop. You may not even notice it happening. […] Most roundworm infections don’t cause long-term problems. Follow your providers instructions for taking your medicine. Take precautions to prevent an infection from happening again. […] Take your medicine as prescribed. Wash bedding and towels in hot water. If you’re planning to travel to a high-risk area, talk to your provider about preventive medications.
  • #5 Abdominal complications of ascariasis in childhood | Jornal de Pediatria
    https://jped.elsevier.es/en-abdominal-complications-ascariasis-in-childhood-articulo-S0021755724000275
    Complications of ascariasis are a significant cause of abdominal pain in pediatric emergencies, especially where it is endemic. […] The treatment is clinical and conservative in most patients. Surgical treatment is indicated if conservative therapy fails, or if there are signs of complications. […] The creation of protocols and greater debate on this subject should be encouraged for a better understanding of the disease and to establish an early diagnosis and adequate treatment for children with complications resulting from massive infestation by Ascaris lumbricoides. […] Uncomplicated ascariasis can be successfully managed with conservative management, with zero oral diet, nasogastric tube (NGT) suction, hydro electrolytic resuscitation, and an enema of 0.9 % or hypertonic saline solution, with a therapeutic success of 50-85 % of cases.
  • #6 Roundworms (Ascariasis) – Nurseslabs
    https://nurseslabs.com/roundworms-ascariasis/
    Nursing care of a child with roundworms may include the following: […] Assessment of the child include: […] Based on the assessment data, the major nursing diagnoses are: […] The major nursing care planning goals for patients with roundworm are: […] Nursing interventions for a child with roundworm include the following: […] Goals are met as evidenced by: […] Documentation in a child with roundworms include the following:
  • #7
    https://www.nursingcenter.com/cearticle?an=00000446-202505000-00019&Journal_ID=54030&Issue_ID=7236492
    This case report follows J.R., a 31-year-old woman who developed ascariasis, an infection caused by Ascaris lumbricoides, a parasitic roundworm, while living in South America. […] This case report discusses clinical manifestations, diagnostic testing, and treatment of ascariasis, as well as nursing management for those with suspected A. lumbricoides infection.
  • #8 Ascariasis: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/322340
    Ascariasis occurs when a type of roundworm known as Ascaris lumbricoides infects the small intestine. Symptoms include abdominal pain, vomiting, and loss of appetite. […] Ascariasis is a common infection in developing countries that lack widespread, modern sanitation. […] Many people with ascariasis do not experience any symptoms until the infection has become severe. […] Ascariasis may not cause symptoms at first. However, as the infestation inside the small intestine grows, a person may start to notice symptoms, including abdominal pain or discomfort, loss of appetite, worms visible in stool, vomiting, impaired growth in children, weight loss, nausea, diarrhea, and irregular bowel movements. […] In more advanced infestations, the worms can travel to the lungs. If this occurs, a person may also experience symptoms, including fever, discomfort in the chest, gagging cough, bloody mucus, shortness of breath, and wheezing.
  • #9 Ascaris/Ascariasis | Concise Medical Knowledge
    https://www.lecturio.com/concepts/ascaris-ascariasis/
    Most patients with ascariasis are asymptomatic. […] If symptomatic, characteristics typically follow 2 phases, which correlate with the migration of the parasite through the body. […] The early phase may include cough, dyspnea, and wheezing. […] The late phase typically includes abdominal discomfort, bloating, nausea, and intermittent diarrhea. […] Heavy infections can cause intestinal obstruction and growth impairment in children. […] A diagnosis is made by recovering an adult parasite from the patient’s stool or by finding eggs in the patient’s stool during a microscopic examination. […] Management includes anthelmintic therapy with albendazole, mebendazole, or pyrantel pamoate. […] Symptoms of Löffler syndrome include fever, cough, blood-tinged sputum, dyspnea, wheezing, substernal chest pain, and urticaria.
  • #10 Ascaris/Ascariasis | Concise Medical Knowledge
    https://www.lecturio.com/concepts/ascaris-ascariasis/
    Late phase symptoms include abdominal pain, bloating, nausea, anorexia, intermittent diarrhea, and adult worms passed in the stool. […] Complications include malnutrition, bowel obstruction, cholecystitis, acute cholangitis, liver abscess, pancreatitis, and appendicitis. […] Definitive diagnosis involves microscopic examination of the stool for eggs and the presence of worms in the stool. […] Management includes albendazole, mebendazole, and pyrantel pamoate. […] Good hygiene practices are essential for prevention, including washing hands, washing raw vegetables and fruits, cooking food properly, and sanitizing properly.
  • #11 Ascariasis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ascariasis/diagnosis-treatment/drc-20369597
    To diagnose ascariasis, your doctor may review your symptoms and order tests. […] Typically, only infections that cause symptoms need to be treated. In some cases, ascariasis will resolve on its own. […] Anti-parasite medications are the first line of treatment against ascariasis. The most common are: Albendazole (Albenza), Ivermectin (Stromectol), Mebendazole. […] In cases of heavy infestation, surgery may be necessary to remove worms and repair damage they’ve caused. Intestinal blockage or holes, bile duct blockage, and appendicitis are complications that may require surgery. […] Your family doctor might refer you to a doctor trained in digestive disorders (gastroenterologist). You may need to see a surgeon if the worms have blocked the intestines. […] During the physical exam, your doctor may press on certain areas of the abdomen to check for pain or tenderness. He or she may also want a sample of stool for testing.
  • #12
    https://www.pagepressjournals.org/ecj/article/view/ecj.2016.5480
    Ascariasis is a common infection in many developing countries. […] The adult form of Ascaris lumbricoides usually resides in the human intestinal lumen (more frequently in the jejunum and middle ileum) and does not cause symptoms. […] However, it can occasionally cause severe complications such as intestinal obstruction or perforation peritonitis. […] Its migration into the biliary tract is not uncommon but gallbladder involvement is very rare. […] Abdominal ultrasonography is essential to detect the presence of this parasite. […] In this article, we describe the radiologic findings, clinical manifestations and successful medical treatment of a patient with gallbladder ascariasis diagnosed in an emergency setting.
  • #13 Nursing Care Plan for Ascariasis: Promoting Effective Treatment and Patient Education – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-ascariasis-promoting-effective-treatment-and-patient-education/
    Ascariasis is a common parasitic infection caused by the roundworm Ascaris lumbricoides. It affects millions of people worldwide, particularly in areas with poor sanitation and hygiene practices. The nursing care plan for ascariasis focuses on providing comprehensive care to individuals affected by the infection. This article presents a nursing care plan that emphasizes evidence-based interventions and patient education to promote effective treatment and prevent the recurrence of ascariasis. […] Provide comprehensive education about the transmission, prevention, and treatment of ascariasis. […] Teach the patient about personal hygiene practices, including handwashing with soap and clean water. […] Emphasize the importance of maintaining a clean and sanitary environment to prevent reinfection.
  • #14 Ascariasis Treatment & Management: Approach Considerations, Treatment Algorithm, Medical Care
    https://emedicine.medscape.com/article/212510-treatment
    All intestinal Ascaris infections should be treated to prevent complications. […] Effective treatment options include albendazole (400 mg orally once), mebendazole (100 mg orally twice a day for 3 days or 500 mg orally once), or ivermectin (150 to 200 mcg/kg orally once). […] For mild Ascaris infections, nitazoxanide is effective, but it is less effective for severe cases. […] When the lungs are affected, treatment focuses on symptomatic relief, including bronchodilators and corticosteroids, as anthelmintic drugs are typically not used. […] Medical therapy is usually not indicated during active pulmonary infection, because dying larvae are considered a higher risk for significant pneumonitis. […] Initial treatment for uncomplicated disease is anthelminthic therapy. […] Albendazole 400 mg one dose orally is the drug of choice for ascariasis in stable patients older than 12 months with uncomplicated infection.
  • #15 About Ascariasis | Soil-Transmitted Helminths | CDC
    https://www.cdc.gov/sth/about/ascariasis.html
    Ascaris infection is treatable with medication. […] Your healthcare provider can prescribe medications to help your body get rid of Ascaris worms. Treatment lasts between one and three days and is highly effective.
  • #16 Evaluation, Diagnosis and Treatment of Ascariasis: An Updated Review | IntechOpen
    https://www.intechopen.com/chapters/85272
    Ascaris lumbricoides (Round Worm) is the most common human helminth with a world wide distribution. […] Ascariasis is classified as a neglected tropical disease. […] Medical therapy with Albendazole is the first line drug ascariasis can be eliminated by preventing faecal contamination of soil. […] Improved access to sanitation, prohibition of open defecation, use of clean toilet by all community members, provision of clean drinking water, maintenance of general hygiene and health education, avoiding of untreated human fecaes as fertiliser will help in reducing ascsaris egg contamination. […] To prevent serious complications even mild cases of ascariasis should be treated with proper medications. […] Albendazole is the drug of choice for ascariasis with cure rate over 95% and gradual reduction of eggs in the next few weeks in 99.5%. […] Post operative deworming is always necessary to kill the residual egg.
  • #17 Ascariasis Clinical Features and Management – Nematodes (Roundworms) for Medicine
    https://www.picmonic.com/pathways/medicine/courses/standard/microbiology-202/nematodes-roundworms-36109/ascariasis-clinical-features-and-management_50216
    Ascaris Clinical Features and Management […] Treatment of ascarisis consists of administration of anti-parasitic agents. The most preferred agent is albendazole, as it has been shown to be effective in resolving nearly all ascaris infections with a single oral dose. Albendaole acts by blocking microtubule polymerization in the parasite, leading to impaired egg production and degenerative alterations within the worm’s gastrointestinal tract. […] Given potential teratogenicity of albendaole and related medications, women in the first trimester of pregnancy should be treated with pyrantel pamoate, which is effective in resolving approximately 90 percent of infections. Pyrantel pamoate acts by causing neuromuscular blockade and paralysis of adult worms.
  • #18 Gallbladder ascariasis in Kosovo – focus on ultrasound and conservative therapy: a case series | Journal of Medical Case Reports | Full Text
    https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-017-1536-4
    Gallbladder ascariasis should be considered in all patients presenting with abdominal pain, distension, colic, nausea, anorexia, and intermittent diarrhea associated with jaundice, nausea, vomiting, fever, and severe radiating pain. […] Mebendazole is an effective drug for the treatment. Surgical treatment is rarely needed. […] Initial therapy for gallbladder ascariasis should involve conservative treatment, unless an associated disease is present or a complication arises. […] Mebendazole is especially suitable for patients when ascariasis coexists with whipworm infection. […] It is a treatment of choice in our institution and has been proven successful. […] Surgical treatment is reserved for cases when spontaneous clearance of worms does not happen and conservative treatment is not successful, as well as when there is dead worm inside the gallbladder and worm associated with calculi. In our experience these are very rare situations and until today, none of our patients required surgery.
  • #19 Ascariasis Treatment & Management: Approach Considerations, Treatment Algorithm, Medical Care
    https://emedicine.medscape.com/article/212510-treatment
    Mebendazole is not recommended during pregnancy; pyrantel pamoate is the drug of choice in these cases. […] Paralyzing vermifuges (eg, pyrantel pamoate, ivermectin) should be avoided in patients with complete or partial intestinal obstruction, because the paralyzed worms may necessitate or further complicate surgery. […] Patients with ascariasis who have partial or complete obstruction should be treated at facilities with surgical support.
  • #20 Clinical Care of Soil-transmitted Helminths | Soil-Transmitted Helminths | CDC
    https://www.cdc.gov/sth/hcp/clinical-care/index.html
    Soil-transmitted helminths, including ascariasis, whipworm, and hookworm, are treatable with medication. […] Treatment is highly effective and can last 1 3 days. […] Dosage guidelines are the same for adults and children. […] The FDA has not approved albendazole as a treatment for ascariasis nor hookworm infection. […] Albendazole is a pregnancy category C drug. […] The available evidence suggests no difference in congenital abnormalities in the children of women accidentally treated with albendazole during mass drug administration (MDA) campaigns compared with those who were not. […] WHO allows use of albendazole in the 2nd and 3rd trimesters of pregnancy in these campaigns. […] The safety of albendazole in children less than 6 years old is not certain. […] According to WHO guidelines for MDA campaigns, children as young as one year of age (able to safely swallow tablets) can take albendazole.
  • #21 Clinical Care of Soil-transmitted Helminths | Soil-Transmitted Helminths | CDC
    https://www.cdc.gov/sth/hcp/clinical-care/index.html
    Mebendazole is a pregnancy category C drug. […] The available evidence suggests no difference in congenital anomalies in the children of women treated with mebendazole during mass drug administration (MDA) campaigns compared with those who were not. […] WHO allows use of mebendazole in the 2nd and 3rd trimesters of pregnancy. […] Mebendazole is minimally excreted in breast milk. […] WHO classifies mebendazole as compatible with breastfeeding and allows its use in lactating women. […] Ivermectin is a pregnancy category C drug. […] The available evidence suggests no difference in congenital abnormalities in the children of women who were accidentally treated during mass drug administration campaigns with ivermectin compared with those who were not. […] The World Health Organization (WHO) excludes pregnant women from mass drug administration campaigns that use ivermectin.
  • #22 Clinical Care of Soil-transmitted Helminths | Soil-Transmitted Helminths | CDC
    https://www.cdc.gov/sth/hcp/clinical-care/index.html
    Ivermectin is excreted in low concentrations in human milk. […] Treat breastfeeding women with ivermectin only when the risks of disease progression in the untreated mother outweigh the risks to the infant. […] Pyrantel pamoate is pregnancy category C. […] WHO allows use of pyrantel pamoate in the 2nd and 3rd trimesters of pregnancy. […] The safety of pyrantel pamoate in children is unclear. […] The WHO Model List of Essential Medicines for Children lists pyrantel pamoate as an intestinal anthelminthic medicine that can be used in children one year of age and older.
  • #23 Ascariasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-17878/
    If partial bowel obstruction is present, a nasogastric tube should be placed, give nothing per mouth, give intravenous fluids and piperazine. […] Once the surgery is performed and intestinal transit is restored, medical anti-parasitic treatment should be given to kill any residual eggs. […] Compliance with drug therapy is necessary to eradicate the disease. […] Education, providing fresh water, and improving sanitation are necessary. […] Hand hygiene is of unmeasurable importance to prevent infection with Ascaris lumbricoides. […] Besides infectious diseases, the primary care provider, including nurses and pharmacists, play a vital role in the education of the patient and their families on sanitation, washing food, and the importance of clean water. […] Ascariasis needs to be tackled on a broader spectrum rather than just healthcare.
  • #24 Ascariasis: Causes, Treatment, Prevention – We Care
    https://wecaregolp.com/ascariasis/
    Anthelmintic drugs are frequently used in the management and treatment of ascariasis to eradicate the Ascaris worms from the body. Supportive techniques may also be used to reduce symptoms and stop reinfection. The main components of treatment and management are as follows: […] Anthelmintic medications, which target and eliminate Ascaris worms, are the mainstay of treatment for ascariasis. […] The medical treatment should be repeated after one to three months because drugs used for ascariasis have only effect on adult worms and larvae also get time to mature to adulthood. […] To guarantee that the worms have been eliminated once the course of anthelmintic treatment is over, a follow-up stool examination may be advised. […] Ascariasis symptoms can be managed with supportive treatments.
  • #25 Bloody sputum
    https://adamcertificationdemo.adam.com/content.aspx?productid=141&isarticlelink=false&pid=1&gid=000628
    Ascariasis is an infection with the parasitic roundworm Ascaris lumbricoides. […] Treatment includes medicines such as albendazole that paralyze or kill intestinal parasitic worms. […] If there is a blockage of the intestine caused by a large number of worms, a procedure called an endoscopy may be used to remove the worms. […] People who are treated for roundworms should be checked again in 3 months. This involves examining the stools to check for eggs of the worm. If eggs are present, treatment should be given again. […] Contact your health care provider if you have symptoms of ascariasis, particularly if you have traveled to an area where the disease is common. […] Improved sanitation and hygiene in developing countries will reduce the risk in those areas. In places where ascariasis is common, people may be given deworming medicines as a preventive measure.
  • #26 Ascariasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-17878/
    There is a need for improved farming practices, food and personal hygiene, and the availability of clean drinking water. […] Many communities are now being targeted for improvement in socioeconomics to help reduce the burden of ascariasis. […] Retreatment in 3-6 months is recommended in endemic areas if the stool ova still persist.
  • #27 Biliary ascariasis: Case report
    https://jjgastro.com/articles/JJGR-v4-1187.html
    A diagnosis of biliary ascariasis was established, and treatment was initiated with Metronidazole 500 mg every 12 hours for 7 days, along with symptomatic treatment using Metoclopramide 10 mg every 8 hours for 5 days and Paracetamol 500 mg every 8 hours for 5 days, resulting in a satisfactory resolution and evolution. […] Treatment depends on the clinical severity of the patients syndrome, with three modalities available: 1) non-surgical management (pharmacological treatment), 2) surgical management for patients not responding adequately to medications or in cases of severe complications, and 3) endoscopic management. […] Adequate eradication has been demonstrated with the administration of highly effective anthelmintic drugs such as Pyrantel, Albendazole, Metronidazole, Ivermectin, and Mebendazole. […] Regarding treatment, the choice between pharmacological or invasive management depends on the cases severity.
  • #28
    https://journals.lww.com/md-journal/fulltext/2017/03310/combination_of_laparoscope_and_choledochoscope_to.7.aspx
    Ascariasis is an endemic parasitic disease caused by Ascaris lumbricoides, which severely burdens the healthcare system as well as harms the personal life quality, especially among less developed regions. Biliary ascariasis is a critical complication of intestinal ascariasis with painful and life-threatening manifestations. The exploration of proper strategies as its medical interventions remains largely controversial. […] The combination of laparoscope and choledochoscope is an efficient method to treat biliary ascariasis, despite of large worm burden in the common bile duct. […] Standard treatment of biliary ascariasis includes antihelminthic drug therapy and either endoscopic or surgical extraction. Surgery plays a core role for patients who have failed antihelminthic treatment and endoscopic extraction.
  • #29
    https://journals.lww.com/md-journal/fulltext/2017/03310/combination_of_laparoscope_and_choledochoscope_to.7.aspx
    The authors also placed a T-tube in situ that could be rinsed daily with saline to flush out remaining parasites. From this case, the authors demonstrate that the combination of laparoscope and choledochoscope is an efficient method to treat biliary ascariasis with large worm burden in the common bile duct.
  • #30 Ascariasis (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/ascariasis.html
    Treatment with prescription anti-parasite drugs usually clears up the infection within a week. […] Doctors treat ascariasis with prescription anti-parasite drugs. Symptoms usually stop within 1 week of starting treatment. […] Good sanitation is the best way to prevent ascariasis. […] Teach kids to wash their hands well and often, especially after using the bathroom and before eating. […] Call your doctor right away if your child has any symptoms of ascariasis. This is especially important if you adopted your child from a developing country or you traveled to areas where ascariasis is common.
  • #31 Ascariasis: Causes, Treatment, Prevention – We Care
    https://wecaregolp.com/ascariasis/
    Nutritional deficiencies caused by the infection can be recovered with adequate fluids and a balanced diet. […] The frequency and spread of ascariasis can be significantly decreased through prevention. […] It is essential to have access to clean water and adequate sanitary facilities to prevent ascariasis. […] People should be urged to maintain proper hygiene, including frequent handwashing with soap and fresh water. […] This entails thoroughly washing fruits and vegetables before eating them, drinking only safe water, using clean water to prepare food, and properly boiling food to kill any Ascaris larvae that may be present. […] Disseminate information through community health education campaigns, especially about the mode of transmission and its preventive measures. […] Put in place deworming programs, particularly in regions where ascariasis is a common disease.
  • #32 Abdominal complications of ascariasis in childhood | Jornal de Pediatria
    https://jped.elsevier.es/en-abdominal-complications-ascariasis-in-childhood-articulo-S0021755724000275
    After resolution of sub occlusion or uncomplicated obstruction with conservative treatment, the use of anthelmintics, such as albendazole (400 mg single dose from 2 years old) or mebendazole (100 mg kg-1 twice a day for 3 days for patients older than 12 months) should be initiated and repeated 6 weeks after discharge for eradication of the worm. […] Studies have highlighted that the administration of anthelmintics in children with abdominal pain and obstruction may worsen the clinical picture and lead to serious complications such as intussusception, volvulus, intestinal bleeding, necrosis, and perforation. […] In cases of intestinal volvulus, distortion, and enterotomy at the point of maximum worm burden should be performed to extract the worms, provided that the intestinal wall. […] Early diagnosis, surgical intervention as soon as possible, when necessary, coverage with adequate antibiotic therapy and radiological evaluation are factors that reduce the morbidity and mortality of children with intestinal obstruction by A. lumbricoides. […] The WHO recommends periodic disinfestation, even without a prior individual diagnosis, for all people living in endemic areas.
  • #33 Ascariasis: Causes, Treatment, Prevention – We Care
    https://wecaregolp.com/ascariasis/
    Encourage efficient waste management and sewage control systems to reduce environmental contamination. […] To stop the spread of infection, quickly identify and treat sick people. […] Ascariasis can be managed in endemic areas with regular screening and treatment of at-risk populations, such as school-aged children. […] Work together with regional and local health agencies to put into action comprehensive public health initiatives that address prevention, control, and education.
  • #34
    https://www.healthychildren.org/English/health-issues/conditions/from-insects-animals/Pages/Roundworm-Ascariasis.aspx
    Most children with A lumbricoides infections do not have any signs and symptoms. […] Contact your pediatrician if your child has any of the symptoms or signs described here, especially if they continue to get worse. […] To treat A lumbricoides infections, your pediatrician may prescribe a single dose of medicine called albendazole or 3 days of pyrantel or mebendazole. […] With proper treatment, children fully recover from ascariasis. […] Reinfection is common. Keep your child away from soil that could be contaminated with human feces. Make sure you wash vegetables and fruits prior to eating.
  • #35 Ascariasis | Rady Children’s Hospital
    https://www.rchsd.org/health-article/ascariasis/
    Ascariasis (as-keh-RYE-eh-sis) is an intestinal infection caused by a worm called Ascaris lumbricoides. […] Treatment with prescription anti-parasite drugs usually clears up the infection within a week. […] Doctors treat ascariasis with prescription anti-parasite drugs. Symptoms usually stop within 1 week of starting treatment. […] Good sanitation is the best way to prevent ascariasis. […] Teach kids to wash their hands well and often, especially after using the bathroom and before eating. […] Call your doctor right away if your child has any symptoms of ascariasis. This is especially important if you adopted your child from a developing country or you traveled to areas where ascariasis is common.
  • #36 Ascariasis: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/322340
    A doctor will treat most cases of ascariasis with antiparasitic drugs. They may consider additional treatment options for severe infestations. […] A doctor may suggest surgery to help remove large numbers of worms. Surgery is also a good option if the infestation blocks a portion of the intestine. […] In most cases, ascariasis has mild or no symptoms and no further complications. […] If the infestation becomes too large or severe, a person is at risk of complications. […] People living in places with modern sanitation have a very low risk of ascariasis. However, it is essential to wash food properly and wash hands after using the bathroom. […] Once identified, a person can often expect a full recovery after treatment.
  • #37 Nursing Care Plan for Ascariasis: Promoting Effective Treatment and Patient Education – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-ascariasis-promoting-effective-treatment-and-patient-education/
    Discuss the need for regular deworming in high-risk populations, such as school-age children. […] Nursing care for individuals with ascariasis involves a multifaceted approach that includes medication administration, symptom management, nutritional support, patient education, and psychosocial support. By implementing a comprehensive care plan and emphasizing preventive measures, nurses can play a vital role in the effective treatment of ascariasis and in reducing the risk of reinfection.
  • #38 Ascariasis and Cardiac Surgery: A Case Report – Journal of Cardiac Critical Care TSS
    https://jcardcritcare.org/ascariasis-and-cardiac-surgery-a-case-report/
    Ascariasis is a common helminthic infection, particularly in the tropical countries. […] The case emphasizes the importance of considering parasitic infection as a differential diagnosis in patients presenting with eosinophilia for elective surgery. […] The case emphasizes the importance of adequate deworming before elective surgery in a patient of eosinophilia, particularly for those living in endemic areas.