¿Cuál es el tratamiento para la solitaria bovina (Taenia saginata)?
Situación clínica
La solitaria bovina (Taenia saginata) produce teniasis intestinal tras la ingestión de carne de res infectada poco cocida. Una vez confirmada la infección, está indicado el tratamiento antiparasitario para eliminar el parásito y prevenir la transmisión continua.
Enfoque terapéutico
Objetivo del tratamiento
El objetivo es la eliminación de la infección, confirmada mediante la ausencia de huevos de Taenia en heces al mes y a los 3 meses del tratamiento.
References
- Praziquantel is the medication most often used to treat active taeniasis, given at 5–10 mg/kg orally once for adults and 5–10 mg/kg orally once for children.
- Available evidence suggests that using 10 mg/kg once orally may have a higher rate of cure than the 5 mg/kg dose.
- Niclosamide is an alternative, given at 2 g orally once for adults and 50 mg/kg orally once for children.
- Albendazole, given as 400 mg daily for three days, may be used as another option for the treatment of taeniasis, although this is based on studies treating small numbers of infected individuals with T. solium or T. saginata.
- Both praziquantel and albendazole should be used cautiously in patients suspected to have cysticercosis.
- Stools should be re-examined for Taenia eggs 1 and 3 months after treatment to be sure the infection is cleared.