3.7.14
Neuroschistosomiasis
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 3, Central Nervous System Conditions.
Clinical Description
Non-pharmacological treatment and complications
Complication Prevention and management
Pressure sores Nursing, training of and counselling of guardians (2-hourly turning)
Urinary retention
Catheterization
Contractures Physiotherapy, training of guardians for home-based physiotherapy
Pain NSAID/opiates, Tiyanjane team
Immobilization Walking aids/wheelchairs
Depression Spiritual and mental support, occupational team/community projects, pharmacotherapy
- Praziquantel 50mg/kg/day divided in two doses for 5 days.
When to refer
- When a patient meets indications for spinal surgery listed above
- Acute compression with an unidentified cause
- Suspected transverse myelitis where immunosuppressants are unavailable
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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