Originating or from Loa loa- endemic area? 4 list 1 of overseas guidelines and map of Loa loa-endemic countries. 5. CBC: Complete blood count and differential ...

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<ul><li><p>Middle Eastern, Asian &amp; SE Asian refugees </p><p>CBC with differential5 </p><p>Recheck total eosinophil count in 3-6 months </p><p>Further evaluation only if symptomatic </p><p>Yes No </p><p>Eosinophilia7? </p><p>Figure 2. Management of parasitic infections for refugee population currently receiving parasitic predeparture presumptive albendazole but incomplete predeparture therapy as of March 1, 20131 </p><p>Further evaluation only if symptomatic </p><p>Further evaluation of etiology of eosinophilia </p><p>Eosinophilia7? </p><p>Yes No </p><p>Sub-Saharan African </p><p>refugees2 </p><p>Presumptive ivermectin? </p><p>CBC with differential5 PLUS </p><p>Presumptive therapy with ivermectin OR screen and treat for Strongyloides3 </p><p>CBC with differential5 PLUS </p><p>Screen for Strongyloides and Loa and treat </p><p>Strongyloides if not contraindicated6 </p><p>Originating or from Loa loa-endemic area?4 </p><p>No Yes </p><p>Yes No </p><p>Presumptive praziquantel? Presumptive treatment OR screen and treat for </p><p>schistosomaisis3 </p><p>No </p><p>Yes </p></li><li><p>1Most refugees without a contraindication are currently receiving pre-departure albendazole. Visit the CDCs current immunization schedule for US-bound refugees for current status of pre-departure presumptive treatment. 2Sub-Saharan African refugees without a contraindication are currently receiving pre-departure praziquantel for schistosomiasis. (Consider serologic screening for those with a contraindication at departure; see Figure 2.) 3See text for screening strategies 4See list 1 of overseas guidelines and map of Loa loa-endemic countries. 5CBC: Complete blood count and differential (not recommended as screening test for parasitic infection but routinely obtained for new arrival screening) 6See text for discussion of screening for Loa loa 7Eosinophilia = an eosinophil count of &gt;400 L. </p><p>http://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/immunizations-guidelines.html%23schedulehttp://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/immunizations-guidelines.html%23schedule</p><p>Slide Number 1Slide Number 2</p></li></ul>

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