# name
Evidence-Based Guidelines for Screening and Management of
                Strongyloidiasis in Non-Endemic Countries

# metadata.dc.description.abstract[].value
Strongyloidiasis is an intestinal parasitic infection becoming
                increasingly important outside endemic areas, not only because
                of the high prevalence found in migrant populations, but also
                because immunosuppressed patients may suffer a potentially fatal
                disseminated disease. The aim of these guidelines is to provide
                evidence-based guidance for screening and treatment of
                strongyloidiasis in non-endemic areas. A panel of experts
                focused on three main clinical questions (who should be screened
                and how, how to treat), and reviewed pertinent literature
                available in international databases of medical literature and
                in documents released by relevant organizations/societies. A
                consensus of the experts' opinion was sought when specific
                issues were not covered by evidence. In particular, six
                systematic reviews were retrieved and constituted the main
                support for this work. The evidence and consensus gathered led
                to recommendations addressing various aspects of the main
                questions. Grading of evidence and strength of recommendation
                were attributed to assess the quality of supporting evidence.
                The screening of individuals at risk of the infection should be
                performed before they develop any clinical complication.
                Moreover, in immunosuppressed patients, the screening should be
                mandatory. The screening is based on a simple and widely
                accessible technology and there is now a universally accepted
                treatment with a high efficacy rate. Therefore, the screening
                could be implemented as part of a screening program for migrants
                although further cost-effectiveness studies are required to
                better evaluate this strategy from a public health point of
                view.

# metadata.dc.publisher[].value
American Society of Tropical Medicine and Hygiene

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Versió postprint del document publicat a:
                http://dx.doi.org/10.4269/ajtmh.16-0923

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The American Journal of Tropical Medicine and Hygiene, 2017,  vol.97, num.3, p. 645-652

# metadata.dc.rights[].value
(c) The American Society of Tropical Medicine and Hygiene, 2017

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Evidence-Based Guidelines for Screening and Management of
                Strongyloidiasis in Non-Endemic Countries