Microscopic demonstration of hookworm eggs in feces is diagnostic. Adult worms or larvae rarely are seen. Approximately 5 to 8 weeks are required after infection for eggs to appear in feces. A direct stool smear with saline solution or potassium iodide saturated with iodine is adequate for diagnosis of heavy hookworm infection; light infections require concentration techniques. Quantification techniques (eg, Kato-Katz, Beaver direct smear, or Stoll egg-counting techniques) to determine the clinical significance of infection and the response to Treatment may be available from state or reference laboratories.
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