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Evaluation of nitazoxanide and oxfendazole efficacy against cystic echinococcosis in naturally infected sheep

  • Cesar M. Gavidia
  • , Armando E. Gonzalez
  • , Luis Lopera
  • , Cesar Jayashi
  • , Roxana Angelats
  • , Eduardo A. Barron
  • , Berenice Ninaquispe
  • , Lucia Villarreal
  • , Hector H. Garcia
  • , Manuela R. Verastegui
  • , Robert H. Gilman
  • Univ. Nacional Mayor de San Marcos
  • Johns Hopkins Bloomberg School of Public Health

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Cystic echinococosis (CE) is a public health problem caused by Echinococcus granulosus. We aimed to determine the efficacy of nitazoxanide (NTZ) and oxfendazole (OXF) against CE in naturally infected sheep. A total of 151 ewes were assigned to the following groups: 15 mg/kg of NTZ weekly for five weeks (NTZ5); two rounds of 15 mg/ kg of NTZ a day for five days (NTZ5×2) two weeks apart; 30 mg/kg of OXF a week for 11 weeks (OXF11); 30 mg/kg of OXF plus 15 mg/kg of NTZ a week for 11 weeks (OXF/NTZ); and the control group. OXF11 and OXF/NTZ decreased the number of fertile cysts, increased the number of degenerated cysts, and were more efficacious (49.6-61.2%) against lung cysts and liver cysts (91.8-100%) than any other treatment group. OXF might be an additional strategy for control programs and an optional treatment of human CE after it is licensed.

Original languageEnglish
Pages (from-to)367-372
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume80
Issue number3
DOIs
StatePublished - Mar 2009

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