Current status of the efficacy and effectiveness of albendazole and mebendazole for the treatment ofAscaris lumbricoides in North-Western Indonesia

摘要

Objective:To investigate the efficacy and effectiveness of albendazole and mebendazole in the treatment ofAscaris lumbricoides (A. lumbricoides) in theNorth-WesternIndonesia.Methods:229 primary school children who were positive forA. lumbricoides in their stool were recruited in the study.123 children received single-dose of400 mg albendazole and106 children received single-dose500 mg of mebendazole.After1 week, their stools were examined for the cure rate (CR) and egg reduction rate(ERR).Egg culture was also performed and observation was made on week-1, -3, -4.Results:have shown a non-significant difference inCR96.7%vs.100%; and ERR of99.3%vs.100.0% for albendazole and mebendazole groups respectively(P>0.05).In-vitro egg culture has shown trends of decrease in the percentage of the unfertilized eggs and in≥2 cell eggs in both treatment groups(P<0.05).The embryonated eggs from the albendazole groups has shown an increase from7.3% on week-1 to13.8% on week-4, whilst the mebendazole group has shown a constant increase during the whole4 weeks of culture from7.5% to28.3%(P<0.01). Conclusions:No evidence of drug resistance is noted so far from the area ofNorth-Western part ofIndonesia.In addition, although both drugs showed incomplete ovicidal effects, single-dose albendazole is better than mebendazole in sterilizingA. lumbricoideseggs.