[Taeniasis and primary care].
OBJECTIVE
To evaluate the therapeutic guidelines used in evaluating taeniasis in primary care (mebendazole, pyrantel pamoate) and to show the low availability of first choice drugs (niclosamide, praziquantel).


METHODS
A retrospective, descriptive study.


METHODS
A clinic for travellers abroad in the Tropical Medicine section (Infectious Diseases Service) of the Hospital Clínic, Barcelona.


METHODS
68 medical histories of cases of Taeniasis seen at this clinic between 1984 and 1994.


RESULTS
72.3% had not travelled to the tropics (autochthonous Taeniasis). The most common symptoms were epigastralgia, anal pruritus, diarrhoea, weight loss and bulimia. 71.2% had previously attended other medical services and all had been correctly diagnosed. 91.8% had received ineffective treatment (the most common treatment was with mebendazole and pyrantel pamoate), sometimes on different occasions. Time elapsed between diagnosis and correct treatment varied from 1 day to 36 months.


CONCLUSIONS
Taeniasis is an easily diagnosed infestation. Its treatment is comfortable and effective, with an average cure period of 24 hours. However, the particular medicines are not available in primary care, which hampers and delays treatment.
Sección de Medicina Tropical, Hospital Clinic i Provincial, Barcelona.
C
C
Roca
E
E
Pous
M E
ME
Valls
J
J
Gascón
M
M
Corachán
D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D000923:Anticestodal Agents / Q000627:therapeutic use; D000969:Antinematodal Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008463:Mebendazole / Q000627:therapeutic use; D008875:Middle Aged; D009534:Niclosamide / Q000627:therapeutic use; D011223:Praziquantel / Q000627:therapeutic use; D011320:Primary Health Care; D011716:Pyrantel Pamoate / Q000627:therapeutic use; D012189:Retrospective Studies; D013622:Taeniasis / Q000175:diagnosis / Q000188:drug therapy
D000923:Anticestodal Agents; D000969:Antinematodal Agents; D011223:Praziquantel; D011716:Pyrantel Pamoate; D008463:Mebendazole; D009534:Niclosamide
Teniasis y atención primaria.