Department of Internal Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Int Marit Health. 2024;75(1):49-54. doi: 10.5603/imh.99453.
Schistosomiasis, caused by Schistosoma trematode worms, represents a significant global health challenge. This review offers a thorough examination of the disease's epidemiology, transmission dynamics, diagnostic modalities, and treatment options. Diagnostic techniques encompass direct parasitological methods, immunological assays, DNA/RNA detection, and biomarker utilization, each with distinct advantages and limitations. There is an urgent need for improved diagnostic tools with enhanced sensitivity and specificity. Praziquantel remains the cornerstone of treatment, exhibiting efficacy against all Schistosoma species, while the potential of artemisin derivatives in combination therapy is also explored. In this review, we focus on the importance of praziquantel administration as the central aspect of schistosomiasis treatment, highlighting ongoing efforts to optimize its utilization for improved patient outcomes.
血吸虫病是由血吸虫属的吸虫引起的,是一个重大的全球健康挑战。本综述全面探讨了该疾病的流行病学、传播动力学、诊断方法和治疗选择。诊断技术包括直接寄生虫学方法、免疫学检测、DNA/RNA 检测和生物标志物利用,每种方法都有其独特的优势和局限性。迫切需要改进具有更高灵敏度和特异性的诊断工具。吡喹酮仍然是治疗的基石,对所有血吸虫物种都有效,而青蒿素衍生物联合治疗的潜力也在探索中。在本综述中,我们重点关注吡喹酮给药作为血吸虫病治疗的核心方面的重要性,强调为改善患者结局而优化其使用的持续努力。