Deworming is not a risk factor for the development of atopic diseases: a longitudinal study in Cuban school children

Summary Background Soil‐transmitted helminth (STH) infections have been suggested to protect from allergic sensitization and atopic diseases. Consequently, anthelminthic treatment would increase the prevalence of atopic disease in STH endemic populations. Objective To investigate the effect of deworming on allergic sensitization and atopic diseases in Cuban schoolchildren. Methods We followed up 108 STH positive schoolchildren aged 5–13 in six‐monthly intervals for 24 months. Four consecutive groups of, respectively, 104, 56, 68, and 53 STH positive children were used as ‘untreated’ reference groups to assess general time trends. STH infections were diagnosed by stool examination. Asthma, allergic rhinoconjunctivitis, and atopic dermatitis were diagnosed by International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire and allergic sensitization by skin prick testing (SPT). At each time point, STH positive children were treated with one single dose of 500 mg mebendazole. Results After deworming, the frequency of asthma significantly decreased (P