Quel est le traitement du ténia du bœuf (Taenia saginata) ?
Situation clinique
Le ténia du bœuf (Taenia saginata) provoque une taeniasis intestinale à la suite de l'ingestion de viande bovine infectée insuffisamment cuite. Une fois l'infection confirmée, un traitement antiparasitaire est indiqué pour éliminer le parasite et prévenir la transmission continue.
Approche thérapeutique
Objectif du traitement
L'objectif est l'élimination de l'infection, confirmée par l'absence d'œufs de Taenia dans les selles à 1 mois et à 3 mois après le traitement.
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.