Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 1/25/2026

Guideline for Treatment of Common Intestinal Helminth Infections in Adults

1. First‑line drug selection (overall efficacy)

2. Helminth‑specific regimens

2.1 Ascaris lumbricoides (Roundworm)

2.2 Hookworm (Ancylostoma duodenale, Necator americanus)

2.3 Trichuris trichiura (Whipworm)

2.4 Enterobius vermicularis (Pinworm)

3. Empirical therapy for undiagnosed eosinophilia when stool microscopy is negative

4. Monitoring requirements for extended mebendazole courses

5. Lactation considerations

6. Resistance, treatment failure, and follow‑up

6.1 Drug‑resistance management

6.2 Follow‑up stool examination timing

6.3 Loeffler’s syndrome (pulmonary eosinophilia)