Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.amjmed.2006.05.072
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dc.titleMaltreatment of Strongyloides Infection: Case Series and Worldwide Physicians-in-Training Survey
dc.contributor.authorBoulware, D.R.
dc.contributor.authorStauffer, W.M.
dc.contributor.authorHendel-Paterson, B.R.
dc.contributor.authorRocha, J.L.L.
dc.contributor.authorSeet, R.C.-S.
dc.contributor.authorSummer, A.P.
dc.contributor.authorNield, L.S.
dc.contributor.authorSupparatpinyo, K.
dc.contributor.authorChaiwarith, R.
dc.contributor.authorWalker, P.F.
dc.date.accessioned2016-11-29T01:19:39Z
dc.date.available2016-11-29T01:19:39Z
dc.date.issued2007-06
dc.identifier.citationBoulware, D.R., Stauffer, W.M., Hendel-Paterson, B.R., Rocha, J.L.L., Seet, R.C.-S., Summer, A.P., Nield, L.S., Supparatpinyo, K., Chaiwarith, R., Walker, P.F. (2007-06). Maltreatment of Strongyloides Infection: Case Series and Worldwide Physicians-in-Training Survey. American Journal of Medicine 120 (6) : 545.e1-545.e8. ScholarBank@NUS Repository. https://doi.org/10.1016/j.amjmed.2006.05.072
dc.identifier.issn00029343
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/131524
dc.description.abstractBackground: Strongyloidiasis infects hundreds of millions of people worldwide and is an important cause of mortality from intestinal helminth infection in developed countries. The persistence of infection, increasing international travel, lack of familiarity by health care providers, and potential for iatrogenic hyperinfection all make strongyloidiasis an important emerging infection. Methods: Two studies were performed. A retrospective chart review of Strongyloides stercoralis cases identified through microbiology laboratory records from 1993-2002 was conducted. Subsequently, 363 resident physicians in 15 training programs worldwide were queried with a case scenario of strongyloidiasis, presenting an immigrant with wheezing and eosinophilia. The evaluation focused on resident recognition and diagnostic recommendations. Results: In 151 strongyloidiasis cases, stool ova and parasite sensitivity is poor (51%), and eosinophilia (>5% or >400 cells/μL) commonly present (84%). Diagnosis averaged 56 months (intra-quartile range: 4-72 months) after immigration. Presenting complaints were nonspecific, although 10% presented with wheezing. Hyperinfection occurred in 5 patients prescribed corticosteroids, with 2 deaths. Treatment errors occurred more often among providers unfamiliar with immigrant health (relative risk of error: 8.4; 95% confidence interval, 3.4-21.0; P 400 eosinophils/μL). US residents' helminth knowledge is limited and places immigrants in iatrogenic danger. Information about Strongyloides should be included in US training and continuing medical education programs. © 2007 Elsevier Inc. All rights reserved.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1016/j.amjmed.2006.05.072
dc.sourceScopus
dc.subjectEosinophilia
dc.subjectGraduate medical education
dc.subjectImmigrant
dc.subjectParasites
dc.subjectRefugee
dc.subjectSensitivity
dc.subjectStrongyloides
dc.subjectWheezing
dc.typeArticle
dc.contributor.departmentMEDICINE
dc.description.doi10.1016/j.amjmed.2006.05.072
dc.description.sourcetitleAmerican Journal of Medicine
dc.description.volume120
dc.description.issue6
dc.description.page545.e1-545.e8
dc.description.codenAJMEA
dc.identifier.isiut000246700900017
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