Schistosomiasis Diagnostic and Treatment Practices of French Infectious Disease Physicians Examining Migrants from Schistosoma Endemic Countries.

The diagnosis and treatment of schistosomiasis among migrants in nonendemic countries are still challenging. An online questionnaire was sent to adult and pediatric infectious disease specialists through the French infectious disease societies' mailing lists to assess attitudes and practices toward the disease. We included all individuals who responded to the online questionnaire but excluded from analysis residents and doctors with dual practices (adults and children) from the analysis. The questionnaire consisted of 19 questions about professional status, screening practices, diagnostic methods, treatment protocols, and follow-up. The response rate was 10.5% (n = 102/970); four respondents were excluded, including two medical residents and two respondents with dual practices. Adult and pediatric infectious disease specialists participated in the study. Serology was the most frequently used diagnostic method among asymptomatic patients. The preferred imaging examination was ultrasound, especially among pediatricians. Praziquantel treatment dose schemes were heterogeneous; 55 of 98 respondents prescribed more than one dose. Serology was still used by 23% (n = 23/98) of the respondents as a follow-up tool despite its irrelevance. The management of chronic schistosomiasis in nonendemic countries is heterogeneous even among infectious disease specialists. New guidelines need to consider the diversity of nosological frameworks.