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Table 1b.
Presumptive Pre-departure Treatment Regimens for Intestinal Parasites

Condition
Regimen
Adults
Children
Intestinal Parasites
Albendazole
(Albenza) (Albuzol)
  • 600 mg in one dose
  • Except pregnant women in 1st trimester
  • 600 mg in one dose
  • Except children <2 years of age

Table 2.
Dosing of anti-malarials that may be considered for presumptive or directed* treatment of P. falciparum malaria in sub-Saharan refugees after arrival in the U.S.

Medication
Child Dosing
Adult Dosing
Presumptive Therapy
Atovaquine-Proguanil

(Adult tablet = 250 mg atovaquone/100 mg proguanil
Pediatric tablet = 62.5 mg atovaquone/25 mg prquanil)
5-8 kg: two pediatric tablets po once a day for 3 days

9-10 kg: three pediatric tablets po once a day for 3 days

11-20 kg:one adult tablet once a day for 3 days

21-30 kg: two adult tablets once a day for 3 days

31-40 kg: three adult tablets once a day for 3 days

>40 kg: four adult tablets once a day for 3 days
Four adult tablets
once a day for 3 days
Alternatives that may be used as directed therapy
30 mg/kg/d divided in 3 doses for 3 days
650 mg q 8 hours
Quinine Sulfate
for 3 days
plus clindamycin
20-40 mg/kg/d in 3 doses for 7 days
90 mg tid for days
or doxycycline
2 mg/kg/d for 7 days
100 mg bid for 7 days
Other Alternatives
Mefloquine
<45 kg: 15 mg/kg then 10 mg/kg 12 hours later
750 mg then 500 mg 12 hours later
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